Mark Kunstman is a Clinical in Bangor, Maine. Mark Kunstman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Kunstman is 1780609453. The last update date is 2007-07-08.
Mark Kunstman's current location address is Po Box 422, Bangor, Maine. You can contact this provider via phone number 2079736100 and fax number 2079736109. The mailing address for Mark Kunstman is Po Box 422, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kunstman |
|---|---|
| Address | Po Box 422, Bangor, Maine |
| Phone Number | 2079736100 |
| Fax Number | 2079736109 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780609453 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 422 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44020422 |
| Phone Number | 2079736100 |
| Fax Number | 2079736109 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ME249144 |
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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 identification code assigned to Mark Kunstman by the Centers for Medicare & Medicaid Services?
The Mark Kunstman has been issued the NPI (National Provider Identifier) 1780609453. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Kunstman is physically located?
The Mark Kunstman is situated at the following address: Po Box 422, Bangor, ME 44020422.
What is the Mark Kunstman's specialty and taxonomy code?
The Mark Kunstman's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Mark Kunstman receive the assignment of its 1780609453 from the Centers for Medicare & Medicaid Services?
The Mark Kunstman was issued its 1780609453 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Mark Kunstman's details last updated?
The information pertaining to the Mark Kunstman, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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