Roger Allen Kryzanek in Bend - Clinical
Roger Allen Kryzanek - NPI 1417045469
Roger Allen Kryzanek is a Clinical in Bend, Oregon. Roger Allen Kryzanek practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Allen Kryzanek is 1417045469. The last update date is 2007-07-08.
Roger Allen Kryzanek's current location address is Po Box 7334, Bend, Oregon. You can contact this provider via phone number 5413828870 and fax number 5413828870. The mailing address for Roger Allen Kryzanek is Po Box 7334, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Allen Kryzanek |
|---|---|
| Address | Po Box 7334, Bend, Oregon |
| Phone Number | 5413828870 |
| Fax Number | 5413828870 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1417045469 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 7334 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977087334 |
| Phone Number | 5413828870 |
| Fax Number | 5413828870 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L0154 |
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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 assigned to Roger Allen Kryzanek by the Centers for Medicare & Medicaid Services?
The Roger Allen Kryzanek has been issued the NPI (National Provider Identifier) 1417045469, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger Allen Kryzanek?
The Roger Allen Kryzanek is physically situated at Po Box 7334, in the city of Bend, state of OR, with the postal code 977087334.
What is Roger Allen Kryzanek's area of expertise and its corresponding taxonomy classification?
The Roger Allen Kryzanek'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 did the Centers for Medicare & Medicaid Services originally issue the 1417045469 to Roger Allen Kryzanek?
The Centers for Medicare & Medicaid Services originally issued the 1417045469 to Roger Allen Kryzanek on 2006-10-11.
As of what date was the information regarding Roger Allen Kryzanek, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roger Allen Kryzanek, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC