Mark Warren Olthoff in Rockford - Clinical
Mark Warren Olthoff - NPI 1073736484
Mark Warren Olthoff is a Clinical in Rockford, Michigan. Mark Warren Olthoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Warren Olthoff is 1073736484. The last update date is 2007-07-08.
Mark Warren Olthoff's current location address is 10075 Northland Dr Ne, Rockford, Michigan. You can contact this provider via phone number 6168660265 and fax number 6168660991. The mailing address for Mark Warren Olthoff is 10075 Northland Dr Ne, Rockford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Warren Olthoff |
|---|---|
| Address | 10075 Northland Dr Ne, Rockford, Michigan |
| Phone Number | 6168660265 |
| Fax Number | 6168660991 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1073736484 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10075 Northland Dr Ne |
|---|---|
| City | Rockford |
| State | Michigan (MI) |
| Post Code | 493418067 |
| Phone Number | 6168660265 |
| Fax Number | 6168660991 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801035615 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Warren Olthoff by the Centers for Medicare & Medicaid Services?
The Mark Warren Olthoff has been issued the NPI (National Provider Identifier) 1073736484 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark Warren Olthoff is geographically located?
The Mark Warren Olthoff is physically situated at the following location: 10075 Northland Dr Ne, Rockford, MI, 493418067.
What is Mark Warren Olthoff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Warren Olthoff is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073736484 to Mark Warren Olthoff?
The Centers for Medicare & Medicaid Services originally issued the 1073736484 to Mark Warren Olthoff on 2007-04-11.
When was the information pertaining to Mark Warren Olthoff most recently updated or revised?
The details related to Mark Warren Olthoff, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.