Jason Jugan in Brookfield - Addiction (substance Use Disorder)
Jason Jugan - NPI 1164438891
Jason Jugan is a Addiction (substance Use Disorder) in Brookfield, Wisconsin. Jason Jugan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jason Jugan is 1164438891. The last update date is 2008-01-04.
Jason Jugan's current location address is 285 N Janacek Rd, Brookfield, Wisconsin. You can contact this provider via phone number 2626419050 and fax number 2626419126. The mailing address for Jason Jugan is 285 N Janacek Rd, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Jugan |
|---|---|
| Address | 285 N Janacek Rd, Brookfield, Wisconsin |
| Phone Number | 2626419050 |
| Fax Number | 2626419126 |
| Sole Proprietor | N |
| Credentials | CADC III, |
NPI Number Detail
| NPI Number | 1164438891 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 285 N Janacek Rd |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530456102 |
| Phone Number | 2626419050 |
| Fax Number | 2626419126 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11147 |
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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 |
|---|---|---|---|
| 39396300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Jugan by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Jugan has been assigned the NPI (National Provider Identifier) 1164438891. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jason Jugan's facilities are situated?
The facilities of Jason Jugan are physically located at the following address: 285 N Janacek Rd, Brookfield, WI, 530456102.
What is Jason Jugan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Jugan's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164438891 to Jason Jugan?
The Centers for Medicare & Medicaid Services originally issued the 1164438891 to Jason Jugan on 2006-08-01.
When was the information related to Jason Jugan most recently updated or refreshed?
The details pertaining to the Jason Jugan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-04.