Geraldine Etella Davis in Ann Arbor - Addiction (substance Use Disorder)
Geraldine Etella Davis - NPI 1053439737
Geraldine Etella Davis is a Addiction (substance Use Disorder) in Ann Arbor, Michigan. Geraldine Etella Davis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Geraldine Etella Davis is 1053439737. The last update date is 2007-07-09.
Geraldine Etella Davis's current location address is 2047 Charlton St Apt 101, Ann Arbor, Michigan. You can contact this provider via phone number 7349979214. The mailing address for Geraldine Etella Davis is 2047 Charlton St Apt 101, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geraldine Etella Davis |
|---|---|
| Address | 2047 Charlton St Apt 101, Ann Arbor, Michigan |
| Phone Number | 7349979214 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | B.S. |
NPI Number Detail
| NPI Number | 1053439737 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2047 Charlton St Apt 101 |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481033953 |
| Phone Number | 7349979214 |
| Fax Number |
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3022440 | MI | -- | |
| 1063545556 | MI | GENESIS HOUSE III |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Geraldine Etella Davis by the Centers for Medicare & Medicaid Services?
The Geraldine Etella Davis has been issued the NPI (National Provider Identifier) 1053439737, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Geraldine Etella Davis is located?
The Geraldine Etella Davis is situated at the following address: 2047 Charlton St Apt 101, Ann Arbor, MI, 481033953.
What is the Geraldine Etella Davis's specialty and taxonomy code?
The Geraldine Etella Davis's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Geraldine Etella Davis receive the assignment of its 1053439737 from the Centers for Medicare & Medicaid Services?
The Geraldine Etella Davis was issued its 1053439737 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date was the information pertaining to Geraldine Etella Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Geraldine Etella Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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