Cornell J. Brunson in Vineland - Addiction (substance Use Disorder)

Cornell J. Brunson - NPI 1932389251

Cornell J. Brunson is a Addiction (substance Use Disorder) in Vineland, New Jersey. Cornell J. Brunson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Cornell J. Brunson is 1932389251. The last update date is 2007-11-07.

Cornell J. Brunson's current location address is 1066 New Pear St, Vineland, New Jersey. You can contact this provider via phone number 8567766649 and fax number 8566964799. The mailing address for Cornell J. Brunson is 1066 New Pear St, Vineland, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Cornell J. Brunson
Address 1066 New Pear St, Vineland, New Jersey
Phone Number 8567766649
Fax Number 8566964799
Sole Proprietor Y
Credentials MS, LCADC

NPI Number Detail

NPI Number 1932389251
Provider Enumeration Date 2007-11-05
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 1066 New Pear St
City Vineland
State New Jersey (NJ)
Post Code 83603940
Phone Number 8567766649
Fax Number 8566964799

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 37LC00095400
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11767849 NJ AETNA

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FAQs about Cornell J. Brunson

What is the unique 10-digit identification code issued to Cornell J. Brunson by the Centers for Medicare & Medicaid Services?

The Cornell J. Brunson has been assigned the NPI (National Provider Identifier) 1932389251 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Cornell J. Brunson?

The Cornell J. Brunson is situated at 1066 New Pear St, in the city of Vineland, state of NJ, with the zip code 83603940.

What is Cornell J. Brunson's area of expertise and its corresponding taxonomy classification?

The Cornell J. Brunson's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Cornell J. Brunson receive its 1932389251 assignment from the Centers for Medicare & Medicaid Services?

The Cornell J. Brunson was assigned its 1932389251 by the Centers for Medicare & Medicaid Services on 2007-11-05.

When was the Cornell J. Brunson's information last updated?

The Cornell J. Brunson's information was last updated on 2007-11-07.

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