Brock B Alder in Logan - Addiction (substance Use Disorder)
Brock B Alder - NPI 1689753774
Brock B Alder is a Addiction (substance Use Disorder) in Logan, Utah. Brock B Alder practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brock B Alder is 1689753774. The last update date is 2023-03-07.
Brock B Alder's current location address is 655 E 1300 N, Logan, Utah. You can contact this provider via phone number 4357926500. The mailing address for Brock B Alder is 655 E 1300 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock B Alder |
|---|---|
| Address | 655 E 1300 N, Logan, Utah |
| Phone Number | 4357926500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1689753774 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 655 E 1300 N |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843412570 |
| Phone Number | 4357926500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 139698-3501 |
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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 unique 10-digit identifier code issued to Brock B Alder by the Centers for Medicare & Medicaid Services?
The Brock B Alder has been assigned the NPI (National Provider Identifier) 1689753774 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brock B Alder's physical address?
The Brock B Alder is physically located at 655 E 1300 N, in the city of Logan, UT, with the postal code 843412570.
What is Brock B Alder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brock B Alder's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689753774 to Brock B Alder?
The Centers for Medicare & Medicaid Services originally issued the 1689753774 to Brock B Alder on 2006-11-02.
When was the Brock B Alder's information last updated?
The Brock B Alder's information was last updated on 2023-03-07.