Bruce Charles Wyman in Rixeyville - School

Bruce Charles Wyman - NPI 1821109331

Bruce Charles Wyman is a School in Rixeyville, Virginia. Bruce Charles Wyman practices all healthcare services and medical treatments related to School. The NPI Number for Bruce Charles Wyman is 1821109331. The last update date is 2014-03-13.

Bruce Charles Wyman's current location address is Po Box 373, Rixeyville, Virginia. You can contact this provider via phone number 5409374923 and fax number 5409377680. The mailing address for Bruce Charles Wyman is Po Box 373, Rixeyville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Charles Wyman
Address Po Box 373, Rixeyville, Virginia
Phone Number 5409374923
Fax Number 5409377680
Sole Proprietor Y
Credentials LPC, EDM,

NPI Number Detail

NPI Number 1821109331
Provider Enumeration Date 2006-08-31
Last Updated Date 2014-03-13

Provider Mailing Address Detail

Address Po Box 373
City Rixeyville
State Virginia (VA)
Post Code 227370373
Phone Number 5409374923
Fax Number 5409377680

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 101Ys0200X
Licence No 701003919
Definition:
A counselor who works with students in elementary, middle, and high schools.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4435897 VA CIGNA BEHAVIORAL
AS43-0001 VA CAREFIRST BLUECROSS BLUESHIELD
10375703 VA --
11654016 VA CAQH

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FAQs about Bruce Charles Wyman

What is the Bruce Charles Wyman's 1821109331?

The Bruce Charles Wyman's NPI (National Provider Identifier) Number is 1821109331. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Bruce Charles Wyman's physical address?

The Bruce Charles Wyman is physically located at Po Box 373, in the city of Rixeyville, VA, with the postal code 227370373.

What is Bruce Charles Wyman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce Charles Wyman is School, and the taxonomy code that classifies this field of practice is 101Ys0200X.

On what date did Bruce Charles Wyman receive its 1821109331 assignment from the Centers for Medicare & Medicaid Services?

The Bruce Charles Wyman was assigned its 1821109331 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Bruce Charles Wyman's information last updated?

The Bruce Charles Wyman's information was last updated on 2014-03-13.

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