Jerry Bains is a Addiction Medicine in Phoenix, Arizona. Jerry Bains practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jerry Bains is 1467517672. The last update date is 2007-07-08.
Jerry Bains's current location address is 3825 N 24th St, Phoenix, Arizona. You can contact this provider via phone number 6022488886 and fax number 6022488999. The mailing address for Jerry Bains is 3825 N 24th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Bains |
|---|---|
| Address | 3825 N 24th St, Phoenix, Arizona |
| Phone Number | 6022488886 |
| Fax Number | 6022488999 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467517672 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3825 N 24th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850166512 |
| Phone Number | 6022488886 |
| Fax Number | 6022488999 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 5639 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jerry Bains by the Centers for Medicare & Medicaid Services?
The Jerry Bains has been issued the NPI (National Provider Identifier) 1467517672. This 10-digit code 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 Jerry Bains's facilities are situated?
The facilities of Jerry Bains are physically located at the following address: 3825 N 24Th St, Phoenix, AZ, 850166512.
What is the Jerry Bains's area of specialization and corresponding taxonomy classification?
The Jerry Bains's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Qa0401X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1467517672 to Jerry Bains?
The Centers for Medicare & Medicaid Services assigned the 1467517672 to Jerry Bains on 2006-12-27.
As of what date was the information regarding Jerry Bains, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Bains, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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