Dan J Braaten in Green Bay - Addiction (substance Use Disorder)
Dan J Braaten - NPI 1053477158
Dan J Braaten is a Addiction (substance Use Disorder) in Green Bay, Wisconsin. Dan J Braaten practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dan J Braaten is 1053477158. The last update date is 2012-01-06.
Dan J Braaten's current location address is 2680 Vernon Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Dan J Braaten is 2680 Vernon Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dan J Braaten |
|---|---|
| Address | 2680 Vernon Dr, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMFT, SAC |
NPI Number Detail
| NPI Number | 1053477158 |
|---|---|
| Provider Enumeration Date | 2006-12-31 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 2680 Vernon Dr |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543045374 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 14817-131 |
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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 |
|---|---|---|---|
| 40954900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dan J Braaten by the Centers for Medicare & Medicaid Services?
The Dan J Braaten has been assigned the NPI (National Provider Identifier) 1053477158 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dan J Braaten is geographically located?
The Dan J Braaten is physically situated at the following location: 2680 Vernon Dr, Green Bay, WI, 543045374.
What is Dan J Braaten's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dan J Braaten is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1053477158 assigned to Dan J Braaten?
The Dan J Braaten was issued its 1053477158 on 2006-12-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dan J Braaten, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dan J Braaten, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-06.