Bonnie Davis in Wausau - Addiction (substance Use Disorder)
Bonnie Davis - NPI 1568559326
Bonnie Davis is a Addiction (substance Use Disorder) in Wausau, Wisconsin. Bonnie Davis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bonnie Davis is 1568559326. The last update date is 2007-07-08.
Bonnie Davis's current location address is 1100 Lake View Drive, Wausau, Wisconsin. You can contact this provider via phone number 7158484600 and fax number 7158455398. The mailing address for Bonnie Davis is 1100 Lake View Drive, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonnie Davis |
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Address | 1100 Lake View Drive, Wausau, Wisconsin |
Phone Number | 7158484600 |
Fax Number | 7158455398 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1568559326 |
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Provider Enumeration Date | 2006-10-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1100 Lake View Drive |
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City | Wausau |
State | Wisconsin (WI) |
Post Code | 54403 |
Phone Number | 7158484600 |
Fax Number | 7158455398 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 12443 |
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 |
---|---|---|---|
39267400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bonnie Davis by the Centers for Medicare & Medicaid Services?
The Bonnie Davis has been assigned the NPI (National Provider Identifier) 1568559326 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bonnie Davis is located?
The Bonnie Davis is situated at the following address: 1100 Lake View Drive, Wausau, WI, 54403.
What is the area of specialization for Bonnie Davis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bonnie Davis is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date was the 1568559326 assigned to Bonnie Davis?
The Bonnie Davis was issued its 1568559326 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bonnie Davis most recently updated or revised?
The information pertaining to Bonnie Davis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.