Ronald James Konkoly in Geneva - Addiction (substance Use Disorder)
Ronald James Konkoly - NPI 1154352649
Ronald James Konkoly is a Addiction (substance Use Disorder) in Geneva, Ohio. Ronald James Konkoly practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ronald James Konkoly is 1154352649. The last update date is 2007-12-03.
Ronald James Konkoly's current location address is 388 S Broadway, Geneva, Ohio. You can contact this provider via phone number 4404660320 and fax number 4404660319. The mailing address for Ronald James Konkoly is 388 S Broadway, Geneva, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald James Konkoly |
|---|---|
| Address | 388 S Broadway, Geneva, Ohio |
| Phone Number | 4404660320 |
| Fax Number | 4404660319 |
| Sole Proprietor | Y |
| Credentials | PCC, LICDC |
NPI Number Detail
| NPI Number | 1154352649 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 388 S Broadway |
|---|---|
| City | Geneva |
| State | Ohio (OH) |
| Post Code | 440411809 |
| Phone Number | 4404660320 |
| Fax Number | 4404660319 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 976016 |
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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 |
|---|---|---|---|
| 358174 | OH | WELLCARE | |
| 341300581042 | OH | CARESOURCE | |
| 2457532 | OH | -- | |
| 745395 | OH | CENPATICO |
Post Comment/ Review Below
What is the Ronald James Konkoly's 1154352649?
The Ronald James Konkoly's NPI (National Provider Identifier) Number is 1154352649. 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 Ronald James Konkoly's facilities are situated?
The facilities of Ronald James Konkoly are physically located at the following address: 388 S Broadway, Geneva, OH, 440411809.
What is Ronald James Konkoly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ronald James Konkoly is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1154352649 assigned to Ronald James Konkoly?
The Ronald James Konkoly was issued its 1154352649 on 2006-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ronald James Konkoly most recently updated or revised?
The information pertaining to Ronald James Konkoly, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-03.