John Upshaw in Waterloo - Clinical

John Upshaw - NPI 1225066673

John Upshaw is a Clinical in Waterloo, Iowa. John Upshaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Upshaw is 1225066673. The last update date is 2007-07-17.

John Upshaw's current location address is 2101 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192721590 and fax number 3192721535. The mailing address for John Upshaw is 2101 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name John Upshaw
Address 2101 Kimball Ave, Waterloo, Iowa
Phone Number 3192721590
Fax Number 3192721535
Sole Proprietor N
Credentials LISW

NPI Number Detail

NPI Number 1225066673
Provider Enumeration Date 2006-06-28
Last Updated Date 2007-07-17

Provider Mailing Address Detail

Address 2101 Kimball Ave
City Waterloo
State Iowa (IA)
Post Code 507025063
Phone Number 3192721590
Fax Number 3192721535

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 5588
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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FAQs about John Upshaw

What is the unique 10-digit identification code issued to John Upshaw by the Centers for Medicare & Medicaid Services?

The John Upshaw has been assigned the NPI (National Provider Identifier) 1225066673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where John Upshaw's facilities are geographically located?

The facilities of John Upshaw are physically situated at the following location: 2101 Kimball Ave, Waterloo, IA, 507025063.

What is the John Upshaw's area of specialization and corresponding taxonomy classification?

The John Upshaw's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When was the John Upshaw's 1225066673 issued?

The John Upshaw's 1225066673 was issued on 2006-06-28.

As of what date was the information regarding John Upshaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Upshaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-17.

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