Jacob Edward Struhelka in Appleton - Addiction (substance Use Disorder)
Jacob Edward Struhelka - NPI 1881808533
Jacob Edward Struhelka is a Addiction (substance Use Disorder) in Appleton, Wisconsin. Jacob Edward Struhelka practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacob Edward Struhelka is 1881808533. The last update date is 2012-07-10.
Jacob Edward Struhelka's current location address is 3301 N Ballard Rd Ste B, Appleton, Wisconsin. You can contact this provider via phone number 9207334443 and fax number 9207334796. The mailing address for Jacob Edward Struhelka is 3301 N Ballard Rd Ste B, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Edward Struhelka |
|---|---|
| Address | 3301 N Ballard Rd Ste B, Appleton, Wisconsin |
| Phone Number | 9207334443 |
| Fax Number | 9207334796 |
| Sole Proprietor | N |
| Credentials | CLINICAL S |
NPI Number Detail
| NPI Number | 1881808533 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2012-07-10 |
Provider Mailing Address Detail
| Address | 3301 N Ballard Rd Ste B |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549119002 |
| Phone Number | 9207334443 |
| Fax Number | 9207334796 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15257132 |
|
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 |
|---|---|---|---|
| 42018000 | WI | -- |
Post Comment/ Review Below
What is the Jacob Edward Struhelka's 1881808533?
The Jacob Edward Struhelka's NPI (National Provider Identifier) Number is 1881808533. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Edward Struhelka located?
The Jacob Edward Struhelka is located at 3301 N Ballard Rd Ste B, Appleton, WI 549119002.
What is Jacob Edward Struhelka's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacob Edward Struhelka is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Jacob Edward Struhelka receive its 1881808533 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Edward Struhelka was assigned its 1881808533 by the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the Jacob Edward Struhelka's details last updated?
The information pertaining to the Jacob Edward Struhelka, including its address, specialty, and other details, was most recently updated on 2012-07-10.
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