Willem H Fahrenbruck in Longview - Professional
Willem H Fahrenbruck - NPI 1629045497
Willem H Fahrenbruck is a Professional in Longview, Texas. Willem H Fahrenbruck practices all healthcare services and medical treatments related to Professional. The NPI Number for Willem H Fahrenbruck is 1629045497. The last update date is 2023-07-13.
Willem H Fahrenbruck's current location address is 3122 Nealy Way Ste 219, Longview, Texas. You can contact this provider via phone number 9034528040. The mailing address for Willem H Fahrenbruck is 3122 Nealy Way Ste 219, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willem H Fahrenbruck |
|---|---|
| Address | 3122 Nealy Way Ste 219, Longview, Texas |
| Phone Number | 9034528040 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1629045497 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2023-07-13 |
Provider Mailing Address Detail
| Address | 3122 Nealy Way Ste 219 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756051088 |
| Phone Number | 9034528040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 83081 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 742270 | MT | BC BS PROVIDER NUMBER | |
| 256724 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Willem H Fahrenbruck by the Centers for Medicare & Medicaid Services?
The Willem H Fahrenbruck has been issued the NPI (National Provider Identifier) 1629045497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Willem H Fahrenbruck?
The Willem H Fahrenbruck is situated at 3122 Nealy Way Ste 219, in the city of Longview, state of TX, with the zip code 756051088.
What is the area of specialization for Willem H Fahrenbruck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Willem H Fahrenbruck is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did the Willem H Fahrenbruck receive the assignment of its 1629045497 from the Centers for Medicare & Medicaid Services?
The Willem H Fahrenbruck was issued its 1629045497 by the Centers for Medicare & Medicaid Services on 2006-03-01.
As of what date were the Willem H Fahrenbruck's details last updated?
The information pertaining to the Willem H Fahrenbruck, including its address, specialty, and other details, was most recently updated on 2023-07-13.