Mark John Frillman in Omaha - Addiction (substance Use Disorder)
Mark John Frillman - NPI 1710174545
Mark John Frillman is a Addiction (substance Use Disorder) in Omaha, Nebraska. Mark John Frillman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark John Frillman is 1710174545. The last update date is 2007-09-25.
Mark John Frillman's current location address is 2931 S 112th St, Omaha, Nebraska. You can contact this provider via phone number 4028125684. The mailing address for Mark John Frillman is 2931 S 112th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark John Frillman |
|---|---|
| Address | 2931 S 112th St, Omaha, Nebraska |
| Phone Number | 4028125684 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1710174545 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 2931 S 112th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681444701 |
| Phone Number | 4028125684 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 203 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Mark John Frillman's 1710174545?
The Mark John Frillman's NPI (National Provider Identifier) Number is 1710174545. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark John Frillman's facilities are situated?
The facilities of Mark John Frillman are physically located at the following address: 2931 S 112Th St, Omaha, NE, 681444701.
What is the Mark John Frillman's specialty and taxonomy code?
The Mark John Frillman's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date was the 1710174545 assigned to Mark John Frillman?
The Mark John Frillman was issued its 1710174545 on 2007-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark John Frillman most recently updated?
The details pertaining to the Mark John Frillman, including its address, specialty, and other relevant information, were last refreshed on 2007-09-25.
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