Gregg M Etter in Warwick - Addiction (substance Use Disorder)
Gregg M Etter - NPI 1962409649
Gregg M Etter is a Addiction (substance Use Disorder) in Warwick, Rhode Island. Gregg M Etter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gregg M Etter is 1962409649. The last update date is 2010-01-14.
Gregg M Etter's current location address is 2756 Post Rd, Warwick, Rhode Island. You can contact this provider via phone number 4016916000 and fax number 4017387718. The mailing address for Gregg M Etter is 2756 Post Rd, Warwick, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg M Etter |
|---|---|
| Address | 2756 Post Rd, Warwick, Rhode Island |
| Phone Number | 4016916000 |
| Fax Number | 4017387718 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962409649 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2010-01-14 |
Provider Mailing Address Detail
| Address | 2756 Post Rd |
|---|---|
| City | Warwick |
| State | Rhode Island (RI) |
| Post Code | 288630030 |
| Phone Number | 4016916000 |
| Fax Number | 4017387718 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | MD08688 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7004198 | RI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregg M Etter by the Centers for Medicare & Medicaid Services?
The Gregg M Etter has been assigned the NPI (National Provider Identifier) 1962409649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gregg M Etter's physical address?
The Gregg M Etter is physically located at 2756 Post Rd, in the city of Warwick, RI, with the postal code 288630030.
What is the Gregg M Etter's area of specialization and corresponding taxonomy classification?
The Gregg M Etter's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 103Ta0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1962409649 to Gregg M Etter?
The Gregg M Etter received its 1962409649 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
When was the information related to Gregg M Etter most recently updated or refreshed?
The details pertaining to the Gregg M Etter, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-14.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA