Thom Joseph Rancour in Iron Mountain - Clinical
Thom Joseph Rancour - NPI 1093925554
Thom Joseph Rancour is a Clinical in Iron Mountain, Michigan. Thom Joseph Rancour practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thom Joseph Rancour is 1093925554. The last update date is 2008-08-22.
Thom Joseph Rancour's current location address is 325 E H St, Iron Mountain, Michigan. You can contact this provider via phone number 9062296120. The mailing address for Thom Joseph Rancour is 325 E H St, Iron Mountain, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thom Joseph Rancour |
|---|---|
| Address | 325 E H St, Iron Mountain, Michigan |
| Phone Number | 9062296120 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1093925554 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2008-08-22 |
Provider Mailing Address Detail
| Address | 325 E H St |
|---|---|
| City | Iron Mountain |
| State | Michigan (MI) |
| Post Code | 498014760 |
| Phone Number | 9062296120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801071484 |
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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 |
|---|---|---|---|
| 6801071484 | MI | CLINICAL SOCIAL WORKER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thom Joseph Rancour?
The Thom Joseph Rancour has been issued the NPI (National Provider Identifier) 1093925554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Thom Joseph Rancour is physically located?
The Thom Joseph Rancour is situated at the following address: 325 E H St, Iron Mountain, MI 498014760.
What is Thom Joseph Rancour's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thom Joseph Rancour is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1093925554 assigned to Thom Joseph Rancour?
The Thom Joseph Rancour was issued its 1093925554 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Thom Joseph Rancour last refreshed?
The information related to the Thom Joseph Rancour, including its address, specialty, and other relevant details, was last updated on 2008-08-22.
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