Carol A Erdman in Fort Atkinson - Addiction (substance Use Disorder)
Carol A Erdman - NPI 1124101951
Carol A Erdman is a Addiction (substance Use Disorder) in Fort Atkinson, Wisconsin. Carol A Erdman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Carol A Erdman is 1124101951. The last update date is 2007-07-08.
Carol A Erdman's current location address is 335 Whitewater Ave, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9206910200 and fax number 9206910201. The mailing address for Carol A Erdman is 335 Whitewater Ave, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol A Erdman |
|---|---|
| Address | 335 Whitewater Ave, Fort Atkinson, Wisconsin |
| Phone Number | 9206910200 |
| Fax Number | 9206910201 |
| Sole Proprietor | Y |
| Credentials | LCSW, CADC |
NPI Number Detail
| NPI Number | 1124101951 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 335 Whitewater Ave |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535382253 |
| Phone Number | 9206910200 |
| Fax Number | 9206910201 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10916 |
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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 |
|---|---|---|---|
| 39799300 | WI | -- |
Post Comment/ Review Below
What is the Carol A Erdman's 1124101951?
The Carol A Erdman's NPI (National Provider Identifier) Number is 1124101951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Carol A Erdman is physically located?
The Carol A Erdman is physically situated at the following address: 335 Whitewater Ave, Fort Atkinson, WI, 535382253.
What is the area of specialization for Carol A Erdman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carol A Erdman is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Carol A Erdman receive its 1124101951 assignment from the Centers for Medicare & Medicaid Services?
The Carol A Erdman was assigned its 1124101951 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information related to Carol A Erdman most recently updated or refreshed?
The details pertaining to the Carol A Erdman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.