Ken Sann in Green Bay - Addiction (substance Use Disorder)
Ken Sann - NPI 1801939467
Ken Sann is a Addiction (substance Use Disorder) in Green Bay, Wisconsin. Ken Sann practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ken Sann is 1801939467. The last update date is 2008-07-03.
Ken Sann's current location address is 1345 W Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204388141 and fax number 9204387993. The mailing address for Ken Sann is 1345 W Mason St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ken Sann |
---|---|
Address | 1345 W Mason St, Green Bay, Wisconsin |
Phone Number | 9204388141 |
Fax Number | 9204387993 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Sann Roy Kenneth |
Telephone Number | 9204388141 |
NPI Number Detail
NPI Number | 1801939467 |
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Provider Enumeration Date | 2007-02-14 |
Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
Address | 1345 W Mason St |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543032049 |
Phone Number | 9204388141 |
Fax Number | 9204387993 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 1722-132 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
42224300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ken Sann?
The Ken Sann has been issued the NPI (National Provider Identifier) 1801939467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ken Sann's facilities are situated?
The facilities of Ken Sann are physically located at the following address: 1345 W Mason St, Green Bay, WI, 543032049.
What is the Ken Sann's area of specialization and corresponding taxonomy classification?
The Ken Sann's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1801939467 to Ken Sann?
The Ken Sann received its 1801939467 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the details related to Ken Sann most recently updated or revised?
The information pertaining to Ken Sann, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-03.
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