Alan M. Listiak is a Clinical in Minneapolis, Minnesota. Alan M. Listiak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alan M. Listiak is 1003933532. The last update date is 2007-07-08.
Alan M. Listiak's current location address is 2712 Fremont Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128221357 and fax number 6128221360. The mailing address for Alan M. Listiak is 2712 Fremont Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan M. Listiak |
|---|---|
| Address | 2712 Fremont Ave S, Minneapolis, Minnesota |
| Phone Number | 6128221357 |
| Fax Number | 6128221360 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1003933532 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2712 Fremont Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554081122 |
| Phone Number | 6128221357 |
| Fax Number | 6128221360 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7767 |
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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 |
|---|---|---|---|
| NONE | NONE |
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What is the unique 10-digit identifier code issued to Alan M. Listiak by the Centers for Medicare & Medicaid Services?
The Alan M. Listiak has been assigned the NPI (National Provider Identifier) 1003933532 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Alan M. Listiak's facilities are situated?
The facilities of Alan M. Listiak are physically located at the following address: 2712 Fremont Ave S, Minneapolis, MN, 554081122.
What is Alan M. Listiak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alan M. Listiak is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Alan M. Listiak receive its 1003933532 assignment?
The Alan M. Listiak was assigned its 1003933532 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Alan M. Listiak's details last updated?
The information pertaining to the Alan M. Listiak, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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