Ian R Powell in Oconomowoc - Addiction (substance Use Disorder)

Ian R Powell - NPI 1346212545

Ian R Powell is a Addiction (substance Use Disorder) in Oconomowoc, Wisconsin. Ian R Powell practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ian R Powell is 1346212545. The last update date is 2012-10-20.

Ian R Powell's current location address is 34700 Valley Rd, Oconomowoc, Wisconsin. You can contact this provider via phone number 2626461391 and fax number 2626461393. The mailing address for Ian R Powell is 34700 Valley Rd, Oconomowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ian R Powell
Address 34700 Valley Rd, Oconomowoc, Wisconsin
Phone Number 2626461391
Fax Number 2626461393
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1346212545
Provider Enumeration Date 2006-02-02
Last Updated Date 2012-10-20

Provider Mailing Address Detail

Address 34700 Valley Rd
City Oconomowoc
State Wisconsin (WI)
Post Code 530664500
Phone Number 2626461391
Fax Number 2626461393

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 103Ta0400X
Licence No 39133
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32580600 WI --

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FAQs about Ian R Powell

What is the unique identification code assigned to Ian R Powell by the Centers for Medicare & Medicaid Services?

The Ian R Powell has been issued the NPI (National Provider Identifier) 1346212545. This 10-digit code 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 Ian R Powell is located?

The Ian R Powell is situated at the following address: 34700 Valley Rd, Oconomowoc, WI, 530664500.

What is Ian R Powell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ian R Powell is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 103Ta0400X.

On what date was the 1346212545 assigned to Ian R Powell?

The Ian R Powell was issued its 1346212545 on 2006-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Ian R Powell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ian R Powell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-20.

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