Ira Jack Goldberg in Las Vegas - Addiction (substance Use Disorder)
Ira Jack Goldberg - NPI 1457464919
Ira Jack Goldberg is a Addiction (substance Use Disorder) in Las Vegas, Nevada. Ira Jack Goldberg practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ira Jack Goldberg is 1457464919. The last update date is 2011-02-18.
Ira Jack Goldberg's current location address is 3602 E Sunset Rd, Las Vegas, Nevada. You can contact this provider via phone number 7029324308 and fax number 7028378930. The mailing address for Ira Jack Goldberg is 3602 E Sunset Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ira Jack Goldberg |
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Address | 3602 E Sunset Rd, Las Vegas, Nevada |
Phone Number | 7029324308 |
Fax Number | 7028378930 |
Sole Proprietor | N |
Credentials | MS MFT LAD |
NPI Number Detail
NPI Number | 1457464919 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2011-02-18 |
Provider Mailing Address Detail
Address | 3602 E Sunset Rd |
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City | Las Vegas |
State | Nevada (NV) |
Post Code | 891207230 |
Phone Number | 7029324308 |
Fax Number | 7028378930 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 290L |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Ira Jack Goldberg by the Centers for Medicare & Medicaid Services?
The Ira Jack Goldberg has been issued the NPI (National Provider Identifier) 1457464919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ira Jack Goldberg is geographically located?
The Ira Jack Goldberg is physically situated at the following location: 3602 E Sunset Rd, Las Vegas, NV, 891207230.
What is the Ira Jack Goldberg's specialty and taxonomy code?
The Ira Jack Goldberg's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Ira Jack Goldberg receive the assignment of its 1457464919 from the Centers for Medicare & Medicaid Services?
The Ira Jack Goldberg was issued its 1457464919 by the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the information regarding Ira Jack Goldberg most recently updated?
The details pertaining to the Ira Jack Goldberg, including its address, specialty, and other relevant information, were last refreshed on 2011-02-18.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX