Laurel Evans Broadhurst in Black Mountain - Addiction Medicine
Laurel Evans Broadhurst - NPI 1669590055
Laurel Evans Broadhurst is a Addiction Medicine in Black Mountain, North Carolina. Laurel Evans Broadhurst practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Laurel Evans Broadhurst is 1669590055. The last update date is 2015-10-30.
Laurel Evans Broadhurst's current location address is 201 Tabernacle Rd, Black Mountain, North Carolina. You can contact this provider via phone number 8286693455. The mailing address for Laurel Evans Broadhurst is 201 Tabernacle Rd, Black Mountain, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurel Evans Broadhurst |
|---|---|
| Address | 201 Tabernacle Rd, Black Mountain, North Carolina |
| Phone Number | 8286693455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669590055 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | 201 Tabernacle Rd |
|---|---|
| City | Black Mountain |
| State | North Carolina (NC) |
| Post Code | 287112526 |
| Phone Number | 8286693455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 9501185 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8912992 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laurel Evans Broadhurst by the Centers for Medicare & Medicaid Services?
The Laurel Evans Broadhurst has been issued the NPI (National Provider Identifier) 1669590055, 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 Laurel Evans Broadhurst?
The Laurel Evans Broadhurst is physically situated at 201 Tabernacle Rd, in the city of Black Mountain, state of NC, with the postal code 287112526.
What is Laurel Evans Broadhurst's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laurel Evans Broadhurst is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date did the Laurel Evans Broadhurst receive the assignment of its 1669590055 from the Centers for Medicare & Medicaid Services?
The Laurel Evans Broadhurst was issued its 1669590055 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details pertaining to Laurel Evans Broadhurst last refreshed?
The information related to the Laurel Evans Broadhurst, including its address, specialty, and other relevant details, was last updated on 2015-10-30.