James Eddie Moore in Milwaukee - Addiction (substance Use Disorder)
James Eddie Moore - NPI 1427194877
James Eddie Moore is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. James Eddie Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James Eddie Moore is 1427194877. The last update date is 2015-03-16.
James Eddie Moore's current location address is 2319 W Capitol Dr, Milwaukee, Wisconsin. You can contact this provider via phone number 4147445370 and fax number 4147449052. The mailing address for James Eddie Moore is 2319 W Capitol Dr, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Eddie Moore |
|---|---|
| Address | 2319 W Capitol Dr, Milwaukee, Wisconsin |
| Phone Number | 4147445370 |
| Fax Number | 4147449052 |
| Sole Proprietor | N |
| Credentials | CADC-III |
NPI Number Detail
| NPI Number | 1427194877 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2015-03-16 |
Provider Mailing Address Detail
| Address | 2319 W Capitol Dr |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 5320619190 |
| Phone Number | 4147445370 |
| Fax Number | 4147449052 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2041 |
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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 |
|---|---|---|---|
| 39369400 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James Eddie Moore by the Centers for Medicare & Medicaid Services?
The James Eddie Moore has been assigned the NPI (National Provider Identifier) 1427194877. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Eddie Moore?
The James Eddie Moore is situated at 2319 W Capitol Dr, in the city of Milwaukee, state of WI, with the zip code 5320619190.
What is James Eddie Moore's area of expertise and its corresponding taxonomy classification?
The James Eddie Moore's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427194877 to James Eddie Moore?
The Centers for Medicare & Medicaid Services originally issued the 1427194877 to James Eddie Moore on 2007-01-30.
When was the information regarding James Eddie Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Eddie Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-16.
NPI Number: 1215930425
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