Jim Morningstar is a Clinical in Milwaukee, Wisconsin. Jim Morningstar practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jim Morningstar is 1669687406. The last update date is 2007-07-08.
Jim Morningstar's current location address is 2728 N Prospect Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149620213. The mailing address for Jim Morningstar is 2728 N Prospect Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Morningstar |
|---|---|
| Address | 2728 N Prospect Ave, Milwaukee, Wisconsin |
| Phone Number | 4149620213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1669687406 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2728 N Prospect Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532113768 |
| Phone Number | 4149620213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 473-057 |
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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 unique 10-digit identification code issued to Jim Morningstar by the Centers for Medicare & Medicaid Services?
The Jim Morningstar has been assigned the NPI (National Provider Identifier) 1669687406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jim Morningstar's facilities are situated?
The facilities of Jim Morningstar are physically located at the following address: 2728 N Prospect Ave, Milwaukee, WI, 532113768.
What is the Jim Morningstar's specialty and taxonomy code?
The Jim Morningstar's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669687406 to Jim Morningstar?
The Centers for Medicare & Medicaid Services originally issued the 1669687406 to Jim Morningstar on 2007-05-14.
As of what date was the information regarding Jim Morningstar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jim Morningstar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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