Cristine L Eastin is a Clinical in Madison, Wisconsin. Cristine L Eastin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cristine L Eastin is 1942368675. The last update date is 2007-07-08.
Cristine L Eastin's current location address is 6417 Odana Rd, Madison, Wisconsin. You can contact this provider via phone number 6082719986 and fax number 6082719988. The mailing address for Cristine L Eastin is 6417 Odana Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cristine L Eastin |
|---|---|
| Address | 6417 Odana Rd, Madison, Wisconsin |
| Phone Number | 6082719986 |
| Fax Number | 6082719988 |
| Sole Proprietor | N |
| Credentials | PHD LCSW |
NPI Number Detail
| NPI Number | 1942368675 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6417 Odana Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53719 |
| Phone Number | 6082719986 |
| Fax Number | 6082719988 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1780123 |
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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 |
|---|---|---|---|
| 39201300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cristine L Eastin by the Centers for Medicare & Medicaid Services?
The Cristine L Eastin has been issued the NPI (National Provider Identifier) 1942368675, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Cristine L Eastin's facilities are situated?
The facilities of Cristine L Eastin are physically located at the following address: 6417 Odana Rd, Madison, WI, 53719.
What is Cristine L Eastin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cristine L Eastin's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942368675 to Cristine L Eastin?
The Centers for Medicare & Medicaid Services assigned the 1942368675 to Cristine L Eastin on 2006-12-05.
As of what date were the details related to Cristine L Eastin most recently updated or revised?
The information pertaining to Cristine L Eastin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.