Angeline Bradford in Waukesha - Addiction (substance Use Disorder)
Angeline Bradford - NPI 1720292451
Angeline Bradford is a Addiction (substance Use Disorder) in Waukesha, Wisconsin. Angeline Bradford practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Angeline Bradford is 1720292451. The last update date is 2007-07-08.
Angeline Bradford's current location address is 2422 North Grandview Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625496600 and fax number 2625496698. The mailing address for Angeline Bradford is 2422 North Grandview Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angeline Bradford |
|---|---|
| Address | 2422 North Grandview Blvd, Waukesha, Wisconsin |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
| Sole Proprietor | N |
| Credentials | CSAC |
NPI Number Detail
| NPI Number | 1720292451 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2422 North Grandview Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 53188 |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 39165000 |
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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 |
|---|---|---|---|
| 39165000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Angeline Bradford by the Centers for Medicare & Medicaid Services?
The Angeline Bradford has been assigned the NPI (National Provider Identifier) 1720292451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Angeline Bradford's physical address?
The Angeline Bradford is physically located at 2422 North Grandview Blvd, in the city of Waukesha, WI, with the postal code 53188.
What is Angeline Bradford'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 Angeline Bradford is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Angeline Bradford receive the assignment of its 1720292451 from the Centers for Medicare & Medicaid Services?
The Angeline Bradford was issued its 1720292451 by the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the Angeline Bradford's details last updated?
The information pertaining to the Angeline Bradford, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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