Barry Dexter in Wausau - Addiction (substance Use Disorder)

Barry Dexter - NPI 1437160447

Barry Dexter is a Addiction (substance Use Disorder) in Wausau, Wisconsin. Barry Dexter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Barry Dexter is 1437160447. The last update date is 2013-04-15.

Barry Dexter's current location address is 1100 Lake View Dr, Wausau, Wisconsin. You can contact this provider via phone number 7158484600 and fax number 7158455398. The mailing address for Barry Dexter is 1100 Lake View Dr, Wausau, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Barry Dexter
Address 1100 Lake View Dr, Wausau, Wisconsin
Phone Number 7158484600
Fax Number 7158455398
Sole Proprietor N
Credentials CSAC

NPI Number Detail

NPI Number 1437160447
Provider Enumeration Date 2006-08-11
Last Updated Date 2013-04-15

Provider Mailing Address Detail

Address 1100 Lake View Dr
City Wausau
State Wisconsin (WI)
Post Code 544036785
Phone Number 7158484600
Fax Number 7158455398

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2087
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
1583-120 WI STATE LICENSE
2087-132 WI STATE LICENSE

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FAQs about Barry Dexter

What is the unique 10-digit identification code assigned to Barry Dexter by the Centers for Medicare & Medicaid Services?

The Barry Dexter has been issued the NPI (National Provider Identifier) 1437160447, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Barry Dexter is physically located?

The Barry Dexter is situated at the following address: 1100 Lake View Dr, Wausau, WI 544036785.

What is Barry Dexter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Barry Dexter is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437160447 to Barry Dexter?

The Centers for Medicare & Medicaid Services originally issued the 1437160447 to Barry Dexter on 2006-08-11.

As of what date were the details pertaining to Barry Dexter last refreshed?

The information related to the Barry Dexter, including its address, specialty, and other relevant details, was last updated on 2013-04-15.

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