John R Debruyne is a Clinical in Ottawa Lake, Michigan. John R Debruyne practices all healthcare services and medical treatments related to Clinical. The NPI Number for John R Debruyne is 1326138595. The last update date is 2007-07-08.
John R Debruyne's current location address is 6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan. You can contact this provider via phone number 7348546207 and fax number 4198241558. The mailing address for John R Debruyne is 6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Debruyne |
|---|---|
| Address | 6833 Sylvania Petersburg Rd, Ottawa Lake, Michigan |
| Phone Number | 7348546207 |
| Fax Number | 4198241558 |
| Sole Proprietor | Y |
| Credentials | M.S.W., M. |
NPI Number Detail
| NPI Number | 1326138595 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6833 Sylvania Petersburg Rd |
|---|---|
| City | Ottawa Lake |
| State | Michigan (MI) |
| Post Code | 492679523 |
| Phone Number | 7348546207 |
| Fax Number | 4198241558 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-0004362 |
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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 identification code issued to John R Debruyne by the Centers for Medicare & Medicaid Services?
The John R Debruyne has been assigned the NPI (National Provider Identifier) 1326138595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where John R Debruyne is physically located?
The John R Debruyne is physically situated at the following address: 6833 Sylvania Petersburg Rd, Ottawa Lake, MI, 492679523.
What is John R Debruyne's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John R Debruyne is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the John R Debruyne receive the assignment of its 1326138595 from the Centers for Medicare & Medicaid Services?
The John R Debruyne was issued its 1326138595 by the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the information regarding John R Debruyne, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John R Debruyne, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1407848211
Address: 4511 N Davis Hwy, Pensacola, FL