Richard Lee Wailes in West Jordan - Clinical
Richard Lee Wailes - NPI 1740346113
Richard Lee Wailes is a Clinical in West Jordan, Utah. Richard Lee Wailes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Lee Wailes is 1740346113. The last update date is 2007-11-04.
Richard Lee Wailes's current location address is 2096 Arthur Dr, West Jordan, Utah. You can contact this provider via phone number 8018081072 and fax number 8668823907. The mailing address for Richard Lee Wailes is 2096 Arthur Dr, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Lee Wailes |
|---|---|
| Address | 2096 Arthur Dr, West Jordan, Utah |
| Phone Number | 8018081072 |
| Fax Number | 8668823907 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740346113 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-11-04 |
Provider Mailing Address Detail
| Address | 2096 Arthur Dr |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840843237 |
| Phone Number | 8018081072 |
| Fax Number | 8668823907 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 324302-3501 |
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What is the unique 10-digit identifier code assigned to Richard Lee Wailes by the Centers for Medicare & Medicaid Services?
The Richard Lee Wailes has been issued the NPI (National Provider Identifier) 1740346113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Richard Lee Wailes?
The Richard Lee Wailes is physically situated at 2096 Arthur Dr, in the city of West Jordan, state of UT, with the postal code 840843237.
What is the area of specialization for Richard Lee Wailes, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard Lee Wailes is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740346113 to Richard Lee Wailes?
The Centers for Medicare & Medicaid Services assigned the 1740346113 to Richard Lee Wailes on 2006-12-29.
As of what date were the details pertaining to Richard Lee Wailes last refreshed?
The information related to the Richard Lee Wailes, including its address, specialty, and other relevant details, was last updated on 2007-11-04.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH