55 Mdos is a Clinical in Offutt A F B, Nebraska. 55 Mdos practices all healthcare services and medical treatments related to Clinical. The NPI Number for 55 Mdos is 1285624262. The last update date is 2008-06-13.
55 Mdos's current location address is 55 Mdos Sgo, Offutt A F B, Nebraska. You can contact this provider via phone number 4022947883. The mailing address for 55 Mdos is 55 Mdos Sgo, Offutt A F B, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 55 Mdos |
|---|---|
| Address | 55 Mdos Sgo, Offutt A F B, Nebraska |
| Phone Number | 4022947883 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MENAL HEAL |
|---|---|
| Authorized Official Name | Hamilton F Stephen |
| Credentials | PHD |
| Telephone Number | 4022947883 |
NPI Number Detail
| NPI Number | 1285624262 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 55 Mdos Sgo |
|---|---|
| City | Offutt A F B |
| State | Nebraska (NE) |
| Post Code | 681131712 |
| Phone Number | 4022947883 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 679 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the 55 Mdos's unique identification number?
The 55 Mdos has been assigned the NPI (National Provider Identifier) Number 1285624262 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 address where 55 Mdos is physically located?
The 55 Mdos is situated at the following address: 55 Mdos Sgo, Offutt A F B, NE 681131712.
What is the 55 Mdos's specialty and taxonomy code?
The 55 Mdos's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1285624262 assigned to 55 Mdos?
The 55 Mdos was issued its 1285624262 on 2005-10-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the 55 Mdos's details last updated?
The information pertaining to the 55 Mdos, including its address, specialty, and other details, was most recently updated on 2008-06-13.