Alice Lynn Bristow is a Clinical in Modesto, California. Alice Lynn Bristow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alice Lynn Bristow is 1053443812. The last update date is 2007-07-08.
Alice Lynn Bristow's current location address is 707 14th St, Modesto, California. You can contact this provider via phone number 2095256041 and fax number 2095256034. The mailing address for Alice Lynn Bristow is 707 14th St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Lynn Bristow |
|---|---|
| Address | 707 14th St, Modesto, California |
| Phone Number | 2095256041 |
| Fax Number | 2095256034 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053443812 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 707 14th St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953542506 |
| Phone Number | 2095256041 |
| Fax Number | 2095256034 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 23079 |
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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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What is the unique 10-digit identification code assigned to Alice Lynn Bristow by the Centers for Medicare & Medicaid Services?
The Alice Lynn Bristow has been issued the NPI (National Provider Identifier) 1053443812, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alice Lynn Bristow?
The Alice Lynn Bristow is physically situated at 707 14Th St, in the city of Modesto, state of CA, with the postal code 953542506.
What is the Alice Lynn Bristow's area of specialization and corresponding taxonomy classification?
The Alice Lynn Bristow's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Alice Lynn Bristow receive its 1053443812 assignment from the Centers for Medicare & Medicaid Services?
The Alice Lynn Bristow was assigned its 1053443812 on 2007-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Alice Lynn Bristow most recently updated or revised?
The details related to Alice Lynn Bristow, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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