Mark Edward Muilenburg in Fremont - Clinical
Mark Edward Muilenburg - NPI 1114043908
Mark Edward Muilenburg is a Clinical in Fremont, Michigan. Mark Edward Muilenburg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Edward Muilenburg is 1114043908. The last update date is 2007-07-09.
Mark Edward Muilenburg's current location address is 6995 W 48th St, Fremont, Michigan. You can contact this provider via phone number 2319243390 and fax number 2319242848. The mailing address for Mark Edward Muilenburg is 6995 W 48th St, Fremont, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Muilenburg |
|---|---|
| Address | 6995 W 48th St, Fremont, Michigan |
| Phone Number | 2319243390 |
| Fax Number | 2319242848 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1114043908 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6995 W 48th St |
|---|---|
| City | Fremont |
| State | Michigan (MI) |
| Post Code | 494129506 |
| Phone Number | 2319243390 |
| Fax Number | 2319242848 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801061098 |
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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 |
|---|---|---|---|
| 302685 | MI | BCN PROVIDER # | |
| 8008964490 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Edward Muilenburg by the Centers for Medicare & Medicaid Services?
The Mark Edward Muilenburg has been issued the NPI (National Provider Identifier) 1114043908, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Edward Muilenburg is geographically located?
The Mark Edward Muilenburg is physically situated at the following location: 6995 W 48Th St, Fremont, MI, 494129506.
What is Mark Edward Muilenburg's area of expertise and its corresponding taxonomy classification?
The Mark Edward Muilenburg's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1114043908 assigned to Mark Edward Muilenburg?
The Mark Edward Muilenburg was issued its 1114043908 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Edward Muilenburg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Edward Muilenburg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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