David O'Brien in Bennington - Addiction (substance Use Disorder)

David O'Brien - NPI 1790794139

David O'Brien is a Addiction (substance Use Disorder) in Bennington, Vermont. David O'Brien practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David O'Brien is 1790794139. The last update date is 2008-03-21.

David O'Brien's current location address is 100 Ledgehill Rd, Bennington, Vermont. You can contact this provider via phone number 8024425491 and fax number 8024424910. The mailing address for David O'Brien is 100 Ledgehill Rd, Bennington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name David O'Brien
Address 100 Ledgehill Rd, Bennington, Vermont
Phone Number 8024425491
Fax Number 8024424910
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1790794139
Provider Enumeration Date 2006-08-05
Last Updated Date 2008-03-21

Provider Mailing Address Detail

Address 100 Ledgehill Rd
City Bennington
State Vermont (VT)
Post Code 52012273
Phone Number 8024425491
Fax Number 8024424910

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 179
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
2068037 CIGNA
224426 VT COM PSYCH
38186 BLUE CROSS

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FAQs about David O'Brien

What is the David O'Brien's unique identification number?

The David O'Brien has been assigned the NPI (National Provider Identifier) Number 1790794139 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where David O'Brien is located?

The David O'Brien is situated at the following address: 100 Ledgehill Rd, Bennington, VT, 52012273.

What is David O'Brien's specialized field of practice, and what is the corresponding taxonomy classification code?

The David O'Brien'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 the Centers for Medicare & Medicaid Services assign the 1790794139 to David O'Brien?

The Centers for Medicare & Medicaid Services assigned the 1790794139 to David O'Brien on 2006-08-05.

When was the information related to David O'Brien most recently updated or refreshed?

The details pertaining to the David O'Brien, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-21.

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