Jeffrey Merle Fosso in Waukesha - Addiction (substance Use Disorder)
Jeffrey Merle Fosso - NPI 1295949006
Jeffrey Merle Fosso is a Addiction (substance Use Disorder) in Waukesha, Wisconsin. Jeffrey Merle Fosso practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jeffrey Merle Fosso is 1295949006. The last update date is 2007-07-08.
Jeffrey Merle Fosso's current location address is 2422 North Grandview Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625496600 and fax number 2625496698. The mailing address for Jeffrey Merle Fosso is 2422 North Grandview Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Merle Fosso |
|---|---|
| Address | 2422 North Grandview Blvd, Waukesha, Wisconsin |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1295949006 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2422 North Grandview Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 53188 |
| Phone Number | 2625496600 |
| Fax Number | 2625496698 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 163Wa0400X |
|
Definition: A registered nurse who cares for people with alcohol, drug, and other addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42016100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey Merle Fosso by the Centers for Medicare & Medicaid Services?
The Jeffrey Merle Fosso has been issued the NPI (National Provider Identifier) 1295949006, 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 Jeffrey Merle Fosso?
The Jeffrey Merle Fosso is physically situated at 2422 North Grandview Blvd, in the city of Waukesha, state of WI, with the postal code 53188.
What is the Jeffrey Merle Fosso's area of specialization and corresponding taxonomy classification?
The Jeffrey Merle Fosso's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 163Wa0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1295949006 to Jeffrey Merle Fosso?
The Centers for Medicare & Medicaid Services assigned the 1295949006 to Jeffrey Merle Fosso on 2007-05-10.
When was the information regarding Jeffrey Merle Fosso most recently updated?
The details pertaining to the Jeffrey Merle Fosso, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.