Marie Ann Shade in Boise - Addiction (substance Use Disorder)
Marie Ann Shade - NPI 1609945831
Marie Ann Shade is a Addiction (substance Use Disorder) in Boise, Idaho. Marie Ann Shade practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marie Ann Shade is 1609945831. The last update date is 2007-07-08.
Marie Ann Shade's current location address is 684 N 9th Street, Boise, Idaho. You can contact this provider via phone number 2083436636 and fax number 2083891474. The mailing address for Marie Ann Shade is 684 N 9th Street, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Ann Shade |
|---|---|
| Address | 684 N 9th Street, Boise, Idaho |
| Phone Number | 2083436636 |
| Fax Number | 2083891474 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1609945831 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 684 N 9th Street |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 857025458 |
| Phone Number | 2083436636 |
| Fax Number | 2083891474 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCPC44 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q1687 | ID | BLUE CROSS | |
| 10016630 | ID | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Marie Ann Shade by the Centers for Medicare & Medicaid Services?
The Marie Ann Shade has been issued the NPI (National Provider Identifier) 1609945831. This 10-digit code 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 Marie Ann Shade?
The Marie Ann Shade is situated at 684 N 9Th Street, in the city of Boise, state of ID, with the zip code 857025458.
What is Marie Ann Shade's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marie Ann Shade's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did Marie Ann Shade receive its 1609945831 assignment from the Centers for Medicare & Medicaid Services?
The Marie Ann Shade was assigned its 1609945831 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Marie Ann Shade, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marie Ann Shade, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.