James E Burg is a Mental Health in Fort Wayne, Indiana. James E Burg practices all healthcare services and medical treatments related to Mental Health. The NPI Number for James E Burg is 1083716997. The last update date is 2012-01-24.
James E Burg's current location address is 2837 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604970328 and fax number 2604970904. The mailing address for James E Burg is 2837 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James E Burg |
|---|---|
| Address | 2837 E Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2604970328 |
| Fax Number | 2604970904 |
| Sole Proprietor | N |
| Credentials | LMFT, LMHC |
NPI Number Detail
| NPI Number | 1083716997 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 2837 E Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251668 |
| Phone Number | 2604970328 |
| Fax Number | 2604970904 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 35001289A |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100434420A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James E Burg by the Centers for Medicare & Medicaid Services?
The James E Burg has been assigned the NPI (National Provider Identifier) 1083716997. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where James E Burg is physically located?
The James E Burg is physically situated at the following address: 2837 E Dupont Rd, Fort Wayne, IN, 468251668.
What is James E Burg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for James E Burg is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the James E Burg receive its 1083716997 assignment from the Centers for Medicare & Medicaid Services?
The James E Burg was assigned its 1083716997 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information regarding James E Burg most recently updated?
The details pertaining to the James E Burg, including its address, specialty, and other relevant information, were last refreshed on 2012-01-24.