Katherine Anna Dibb in Milwaukee - Addiction (substance Use Disorder)
Katherine Anna Dibb - NPI 1629245725
Katherine Anna Dibb is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Katherine Anna Dibb practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Katherine Anna Dibb is 1629245725. The last update date is 2008-05-08.
Katherine Anna Dibb's current location address is 4757 N 76th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4143585381 and fax number 4143585005. The mailing address for Katherine Anna Dibb is 4757 N 76th St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Anna Dibb |
|---|---|
| Address | 4757 N 76th St, Milwaukee, Wisconsin |
| Phone Number | 4143585381 |
| Fax Number | 4143585005 |
| Sole Proprietor | N |
| Credentials | SAC |
NPI Number Detail
| NPI Number | 1629245725 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 4757 N 76th St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532184732 |
| Phone Number | 4143585381 |
| Fax Number | 4143585005 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15361131 |
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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 |
|---|---|---|---|
| 15361131 | WI | WISCONSIN DEPARTMENT OF REGULA | |
| 39178900 | WI | -- |
Post Comment/ Review Below
What is the Katherine Anna Dibb's unique identification number?
The Katherine Anna Dibb has been assigned the NPI (National Provider Identifier) Number 1629245725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Katherine Anna Dibb's facilities are situated?
The facilities of Katherine Anna Dibb are physically located at the following address: 4757 N 76Th St, Milwaukee, WI, 532184732.
What is Katherine Anna Dibb's specialized field of practice, and what is the corresponding taxonomy classification code?
The Katherine Anna Dibb'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 originally issue the 1629245725 to Katherine Anna Dibb?
The Centers for Medicare & Medicaid Services originally issued the 1629245725 to Katherine Anna Dibb on 2008-05-08.
As of what date was the information regarding Katherine Anna Dibb, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katherine Anna Dibb, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-08.