Terry Wayne Fouts is a Clinical in Ketchikan, Alaska. Terry Wayne Fouts practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terry Wayne Fouts is 1356434542. The last update date is 2013-10-22.
Terry Wayne Fouts's current location address is 721 Stedman St, Ketchikan, Alaska. You can contact this provider via phone number 9072257825 and fax number 9072251541. The mailing address for Terry Wayne Fouts is 721 Stedman St, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Wayne Fouts |
|---|---|
| Address | 721 Stedman St, Ketchikan, Alaska |
| Phone Number | 9072257825 |
| Fax Number | 9072251541 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1356434542 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2013-10-22 |
Provider Mailing Address Detail
| Address | 721 Stedman St |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999016632 |
| Phone Number | 9072257825 |
| Fax Number | 9072251541 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1147 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH3260 | AK | -- | |
| 66882 | KS | BLUE CROSS BLUE SHIELD | |
| 1597 | VA | VALUE OPTION INC | |
| 201597 | KS | GREAT WEST HEALTH PARTNER |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Wayne Fouts by the Centers for Medicare & Medicaid Services (CMS)?
The Terry Wayne Fouts has been assigned the NPI (National Provider Identifier) 1356434542. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terry Wayne Fouts is physically located?
The Terry Wayne Fouts is physically situated at the following address: 721 Stedman St, Ketchikan, AK, 999016632.
What is Terry Wayne Fouts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry Wayne Fouts's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Terry Wayne Fouts receive its 1356434542 assignment from the Centers for Medicare & Medicaid Services?
The Terry Wayne Fouts was assigned its 1356434542 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Terry Wayne Fouts most recently updated or refreshed?
The details pertaining to the Terry Wayne Fouts, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-22.