Michael Ray Eatmon in Evansville - Clinical
Michael Ray Eatmon - NPI 1568489102
Michael Ray Eatmon is a Clinical in Evansville, Indiana. Michael Ray Eatmon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Ray Eatmon is 1568489102. The last update date is 2019-04-25.
Michael Ray Eatmon's current location address is 2015 Maxwell Ave, Evansville, Indiana. You can contact this provider via phone number 8124227974 and fax number 8124228163. The mailing address for Michael Ray Eatmon is 2015 Maxwell Ave, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ray Eatmon |
|---|---|
| Address | 2015 Maxwell Ave, Evansville, Indiana |
| Phone Number | 8124227974 |
| Fax Number | 8124228163 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568489102 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
| Address | 2015 Maxwell Ave |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 47711 |
| Phone Number | 8124227974 |
| Fax Number | 8124228163 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001541A |
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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 identifier code assigned to Michael Ray Eatmon by the Centers for Medicare & Medicaid Services?
The Michael Ray Eatmon has been issued the NPI (National Provider Identifier) 1568489102 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael Ray Eatmon located?
The Michael Ray Eatmon is located at 2015 Maxwell Ave, Evansville, IN 47711.
What is the area of specialization for Michael Ray Eatmon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Ray Eatmon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Michael Ray Eatmon receive its 1568489102 assignment from the Centers for Medicare & Medicaid Services?
The Michael Ray Eatmon was assigned its 1568489102 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details pertaining to Michael Ray Eatmon last refreshed?
The information related to the Michael Ray Eatmon, including its address, specialty, and other relevant details, was last updated on 2019-04-25.