Jeremy R Koehl in Washburn - Addiction (substance Use Disorder)
Jeremy R Koehl - NPI 1972714053
Jeremy R Koehl is a Addiction (substance Use Disorder) in Washburn, Wisconsin. Jeremy R Koehl practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeremy R Koehl is 1972714053. The last update date is 2007-07-09.
Jeremy R Koehl's current location address is 21 West Omaha Street, Washburn, Wisconsin. You can contact this provider via phone number 7153730160 and fax number 7153730162. The mailing address for Jeremy R Koehl is 21 West Omaha Street, Washburn, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy R Koehl |
|---|---|
| Address | 21 West Omaha Street, Washburn, Wisconsin |
| Phone Number | 7153730160 |
| Fax Number | 7153730162 |
| Sole Proprietor | N |
| Credentials | MSSW, LCSW |
NPI Number Detail
| NPI Number | 1972714053 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 21 West Omaha Street |
|---|---|
| City | Washburn |
| State | Wisconsin (WI) |
| Post Code | 548910036 |
| Phone Number | 7153730160 |
| Fax Number | 7153730162 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10748 |
|
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 |
|---|---|---|---|
| 39246100 | WI | -- |
Post Comment/ Review Below
What is the Jeremy R Koehl's unique identification number?
The Jeremy R Koehl has been assigned the NPI (National Provider Identifier) Number 1972714053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jeremy R Koehl?
The Jeremy R Koehl is situated at 21 West Omaha Street, in the city of Washburn, state of WI, with the zip code 548910036.
What is Jeremy R Koehl's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy R Koehl is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Jeremy R Koehl receive its 1972714053 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy R Koehl was assigned its 1972714053 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date were the details related to Jeremy R Koehl most recently updated or revised?
The information pertaining to Jeremy R Koehl, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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