Cary Ann Backenger in Kimberly - Addiction (substance Use Disorder)
Cary Ann Backenger - NPI 1104960376
Cary Ann Backenger is a Addiction (substance Use Disorder) in Kimberly, Wisconsin. Cary Ann Backenger practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Cary Ann Backenger is 1104960376. The last update date is 2007-07-08.
Cary Ann Backenger's current location address is 339 Schindler Dr, Kimberly, Wisconsin. You can contact this provider via phone number 9207338488. The mailing address for Cary Ann Backenger is 339 Schindler Dr, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cary Ann Backenger |
|---|---|
| Address | 339 Schindler Dr, Kimberly, Wisconsin |
| Phone Number | 9207338488 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, LPC, C |
NPI Number Detail
| NPI Number | 1104960376 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 339 Schindler Dr |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 541361231 |
| Phone Number | 9207338488 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2115-132 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique provider identifier assigned to Cary Ann Backenger?
The Cary Ann Backenger has been issued the NPI (National Provider Identifier) 1104960376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Cary Ann Backenger located?
The Cary Ann Backenger is located at 339 Schindler Dr, Kimberly, WI 541361231.
What is the area of specialization for Cary Ann Backenger, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cary Ann Backenger is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104960376 to Cary Ann Backenger?
The Centers for Medicare & Medicaid Services originally issued the 1104960376 to Cary Ann Backenger on 2007-02-19.
As of what date were the details related to Cary Ann Backenger most recently updated or revised?
The information pertaining to Cary Ann Backenger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.