Thomas E. Tueller in Idaho Falls - Clinical
Thomas E. Tueller - NPI 1740321314
Thomas E. Tueller is a Clinical in Idaho Falls, Idaho. Thomas E. Tueller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas E. Tueller is 1740321314. The last update date is 2022-05-09.
Thomas E. Tueller's current location address is 2275 W Broadway St Ste G, Idaho Falls, Idaho. You can contact this provider via phone number 2085247400 and fax number 2085248004. The mailing address for Thomas E. Tueller is 2275 W Broadway St Ste G, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas E. Tueller |
|---|---|
| Address | 2275 W Broadway St Ste G, Idaho Falls, Idaho |
| Phone Number | 2085247400 |
| Fax Number | 2085248004 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740321314 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2022-05-09 |
Provider Mailing Address Detail
| Address | 2275 W Broadway St Ste G |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834022902 |
| Phone Number | 2085247400 |
| Fax Number | 2085248004 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-859 |
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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 |
|---|---|---|---|
| 1740321314 | ID | -- |
Post Comment/ Review Below
What is the Thomas E. Tueller's 1740321314?
The Thomas E. Tueller's NPI (National Provider Identifier) Number is 1740321314. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas E. Tueller is located?
The Thomas E. Tueller is situated at the following address: 2275 W Broadway St Ste G, Idaho Falls, ID, 834022902.
What is Thomas E. Tueller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thomas E. Tueller is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740321314 to Thomas E. Tueller?
The Centers for Medicare & Medicaid Services originally issued the 1740321314 to Thomas E. Tueller on 2007-02-08.
When was the information related to Thomas E. Tueller most recently updated or refreshed?
The details pertaining to the Thomas E. Tueller, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-09.
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