Dwaine Leo Frye in Fremont - Addiction (substance Use Disorder)

Dwaine Leo Frye - NPI 1891974382

Dwaine Leo Frye is a Addiction (substance Use Disorder) in Fremont, California. Dwaine Leo Frye practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dwaine Leo Frye is 1891974382. The last update date is 2007-10-31.

Dwaine Leo Frye's current location address is 4510 Peralta Blvd, Fremont, California. You can contact this provider via phone number 5107133202 and fax number 5107130684. The mailing address for Dwaine Leo Frye is 4510 Peralta Blvd, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwaine Leo Frye
Address 4510 Peralta Blvd, Fremont, California
Phone Number 5107133202
Fax Number 5107130684
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1891974382
Provider Enumeration Date 2007-10-31
Last Updated Date 2007-10-31

Provider Mailing Address Detail

Address 4510 Peralta Blvd
City Fremont
State California (CA)
Post Code 945365755
Phone Number 5107133202
Fax Number 5107130684

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
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
IN PROCESS CA BREINING INSTITUTE

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FAQs about Dwaine Leo Frye

What is the unique identifier code issued to Dwaine Leo Frye by the Centers for Medicare & Medicaid Services (CMS)?

The Dwaine Leo Frye has been assigned the NPI (National Provider Identifier) 1891974382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Dwaine Leo Frye is located?

The Dwaine Leo Frye is situated at the following address: 4510 Peralta Blvd, Fremont, CA, 945365755.

What is Dwaine Leo Frye's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dwaine Leo Frye is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date was the 1891974382 assigned to Dwaine Leo Frye?

The Dwaine Leo Frye was issued its 1891974382 on 2007-10-31, 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 Dwaine Leo Frye's details last updated?

The information pertaining to the Dwaine Leo Frye, including its address, specialty, and other details, was most recently updated on 2007-10-31.

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