Randall P. Spangle in Ashland - Addiction (substance Use Disorder)
Randall P. Spangle - NPI 1871613943
Randall P. Spangle is a Addiction (substance Use Disorder) in Ashland, Wisconsin. Randall P. Spangle practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Randall P. Spangle is 1871613943. The last update date is 2007-07-09.
Randall P. Spangle's current location address is 621 18th Ave W, Ashland, Wisconsin. You can contact this provider via phone number 7156828015. The mailing address for Randall P. Spangle is 621 18th Ave W, Ashland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall P. Spangle |
|---|---|
| Address | 621 18th Ave W, Ashland, Wisconsin |
| Phone Number | 7156828015 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CSAC, ICS |
NPI Number Detail
| NPI Number | 1871613943 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 621 18th Ave W |
|---|---|
| City | Ashland |
| State | Wisconsin (WI) |
| Post Code | 54806 |
| Phone Number | 7156828015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 7044-135 |
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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 |
|---|---|---|---|
| 39317500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall P. Spangle by the Centers for Medicare & Medicaid Services?
The Randall P. Spangle has been issued the NPI (National Provider Identifier) 1871613943, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall P. Spangle's physical address?
The Randall P. Spangle is physically located at 621 18Th Ave W, in the city of Ashland, WI, with the postal code 54806.
What is Randall P. Spangle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall P. Spangle is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Randall P. Spangle receive the assignment of its 1871613943 from the Centers for Medicare & Medicaid Services?
The Randall P. Spangle was issued its 1871613943 by the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the Randall P. Spangle's details last updated?
The information pertaining to the Randall P. Spangle, including its address, specialty, and other details, was most recently updated on 2007-07-09.