James A Clark in Fort Atkinson - Addiction (substance Use Disorder)
James A Clark - NPI 1356365316
James A Clark is a Addiction (substance Use Disorder) in Fort Atkinson, Wisconsin. James A Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James A Clark is 1356365316. The last update date is 2007-07-08.
James A Clark's current location address is 509 Mcmillen St, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205637995 and fax number 9205686047. The mailing address for James A Clark is 509 Mcmillen St, Fort Atkinson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James A Clark |
|---|---|
| Address | 509 Mcmillen St, Fort Atkinson, Wisconsin |
| Phone Number | 9205637995 |
| Fax Number | 9205686047 |
| Sole Proprietor | N |
| Credentials | CADCIII |
NPI Number Detail
| NPI Number | 1356365316 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 509 Mcmillen St |
|---|---|
| City | Fort Atkinson |
| State | Wisconsin (WI) |
| Post Code | 535381263 |
| Phone Number | 9205637995 |
| Fax Number | 9205686047 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 484 |
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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 |
|---|---|---|---|
| 39344700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to James A Clark by the Centers for Medicare & Medicaid Services?
The James A Clark has been assigned the NPI (National Provider Identifier) 1356365316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where James A Clark's facilities are situated?
The facilities of James A Clark are physically located at the following address: 509 Mcmillen St, Fort Atkinson, WI, 535381263.
What is James A Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The James A Clark'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 was the 1356365316 assigned to James A Clark?
The James A Clark was issued its 1356365316 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to James A Clark most recently updated or revised?
The information pertaining to James A Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.