Bradley Ray Hawbecker in Beloit - Addiction (substance Use Disorder)

Bradley Ray Hawbecker - NPI 1235316381

Bradley Ray Hawbecker is a Addiction (substance Use Disorder) in Beloit, Wisconsin. Bradley Ray Hawbecker practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bradley Ray Hawbecker is 1235316381. The last update date is 2011-08-18.

Bradley Ray Hawbecker's current location address is 2240 Praire Ave, Beloit, Wisconsin. You can contact this provider via phone number 6083617200 and fax number 6083617201. The mailing address for Bradley Ray Hawbecker is 2240 Praire Ave, Beloit, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Ray Hawbecker
Address 2240 Praire Ave, Beloit, Wisconsin
Phone Number 6083617200
Fax Number 6083617201
Sole Proprietor N
Credentials SAC 15654-

NPI Number Detail

NPI Number 1235316381
Provider Enumeration Date 2008-01-30
Last Updated Date 2011-08-18

Provider Mailing Address Detail

Address 2240 Praire Ave
City Beloit
State Wisconsin (WI)
Post Code 535112940
Phone Number 6083617200
Fax Number 6083617201

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 15654-131
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
42247900 WI --

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FAQs about Bradley Ray Hawbecker

What is the Bradley Ray Hawbecker's 1235316381?

The Bradley Ray Hawbecker's NPI (National Provider Identifier) Number is 1235316381. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bradley Ray Hawbecker is physically located?

The Bradley Ray Hawbecker is physically situated at the following address: 2240 Praire Ave, Beloit, WI, 535112940.

What is Bradley Ray Hawbecker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley Ray Hawbecker is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

When did the Bradley Ray Hawbecker receive its 1235316381?

The Bradley Ray Hawbecker was issued its 1235316381 on 2008-01-30, which is the date when the organization was assigned this unique identifier.

When was the information regarding Bradley Ray Hawbecker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bradley Ray Hawbecker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-18.

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