Jack Formanek in Council Bluffs - Mental Health
Jack Formanek - NPI 1285791376
Jack Formanek is a Mental Health in Council Bluffs, Iowa. Jack Formanek practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jack Formanek is 1285791376. The last update date is 2007-07-08.
Jack Formanek's current location address is 307 E View Dr, Council Bluffs, Iowa. You can contact this provider via phone number 7123251584 and fax number 7123250546. The mailing address for Jack Formanek is 307 E View Dr, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Formanek |
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Address | 307 E View Dr, Council Bluffs, Iowa |
Phone Number | 7123251584 |
Fax Number | 7123250546 |
Sole Proprietor | Y |
Credentials | MS, LMHP |
NPI Number Detail
NPI Number | 1285791376 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 307 E View Dr |
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City | Council Bluffs |
State | Iowa (IA) |
Post Code | 515030464 |
Phone Number | 7123251584 |
Fax Number | 7123250546 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 205 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Jack Formanek by the Centers for Medicare & Medicaid Services?
The Jack Formanek has been assigned the NPI (National Provider Identifier) 1285791376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jack Formanek's facilities are geographically located?
The facilities of Jack Formanek are physically situated at the following location: 307 E View Dr, Council Bluffs, IA, 515030464.
What is the Jack Formanek's specialty and taxonomy code?
The Jack Formanek's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did the Jack Formanek receive its 1285791376?
The Jack Formanek was issued its 1285791376 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Jack Formanek's details last updated?
The information pertaining to the Jack Formanek, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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