Theodore Anthony Watson in Omaha - Addiction (substance Use Disorder)
Theodore Anthony Watson - NPI 1104981968
Theodore Anthony Watson is a Addiction (substance Use Disorder) in Omaha, Nebraska. Theodore Anthony Watson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Theodore Anthony Watson is 1104981968. The last update date is 2007-07-08.
Theodore Anthony Watson's current location address is 1941 S 42nd St, Omaha, Nebraska. You can contact this provider via phone number 4025582034 and fax number 4026141540. The mailing address for Theodore Anthony Watson is 1941 S 42nd St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Anthony Watson |
|---|---|
| Address | 1941 S 42nd St, Omaha, Nebraska |
| Phone Number | 4025582034 |
| Fax Number | 4026141540 |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1104981968 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1941 S 42nd St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681052939 |
| Phone Number | 4025582034 |
| Fax Number | 4026141540 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 150 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26 | NE | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theodore Anthony Watson?
The Theodore Anthony Watson has been issued the NPI (National Provider Identifier) 1104981968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Theodore Anthony Watson's facilities are situated?
The facilities of Theodore Anthony Watson are physically located at the following address: 1941 S 42Nd St, Omaha, NE, 681052939.
What is Theodore Anthony Watson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore Anthony Watson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did the Theodore Anthony Watson receive its 1104981968?
The Theodore Anthony Watson was issued its 1104981968 on 2006-12-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Theodore Anthony Watson last refreshed?
The information related to the Theodore Anthony Watson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1861489502
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