Jamie Elaine Keller in Milwaukee - Addiction (substance Use Disorder)

Jamie Elaine Keller - NPI 1902946049

Jamie Elaine Keller is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Jamie Elaine Keller practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jamie Elaine Keller is 1902946049. The last update date is 2007-07-09.

Jamie Elaine Keller's current location address is 4800 S 10th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4147445370 and fax number 4147449052. The mailing address for Jamie Elaine Keller is 4800 S 10th St, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie Elaine Keller
Address 4800 S 10th St, Milwaukee, Wisconsin
Phone Number 4147445370
Fax Number 4147449052
Sole Proprietor N
Credentials CADCIII

NPI Number Detail

NPI Number 1902946049
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4800 S 10th St
City Milwaukee
State Wisconsin (WI)
Post Code 532212412
Phone Number 4147445370
Fax Number 4147449052

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1644
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
39375900 WI --

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FAQs about Jamie Elaine Keller

What is the unique provider identifier assigned to Jamie Elaine Keller?

The Jamie Elaine Keller has been issued the NPI (National Provider Identifier) 1902946049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jamie Elaine Keller is physically located?

The Jamie Elaine Keller is situated at the following address: 4800 S 10Th St, Milwaukee, WI 532212412.

What is Jamie Elaine Keller's area of expertise and its corresponding taxonomy classification?

The Jamie Elaine Keller'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 Jamie Elaine Keller receive its 1902946049 assignment from the Centers for Medicare & Medicaid Services?

The Jamie Elaine Keller was assigned its 1902946049 by the Centers for Medicare & Medicaid Services on 2007-02-07.

When was the information pertaining to Jamie Elaine Keller most recently updated or revised?

The details related to Jamie Elaine Keller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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