Simon Mcclure is a Psychiatry in Bridgeport, . Simon Mcclure practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Simon Mcclure is 1386677813. The last update date is 2007-07-08.
Simon Mcclure's current location address is 1160 Johnson Ave, Bridgeport, . You can contact this provider via phone number 3048429084 and fax number 3048429085. The mailing address for Simon Mcclure is 1160 Johnson Ave, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Simon Mcclure |
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Address | 1160 Johnson Ave, Bridgeport, |
Phone Number | 3048429084 |
Fax Number | 3048429085 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1386677813 |
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Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1160 Johnson Ave |
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City | Bridgeport |
State | (WV) |
Post Code | 26330 |
Phone Number | 3048429084 |
Fax Number | 3048429085 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 17045 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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115260000 | WV | -- |
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What is the unique identifier code issued to Simon Mcclure by the Centers for Medicare & Medicaid Services (CMS)?
The Simon Mcclure has been assigned the NPI (National Provider Identifier) 1386677813. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Simon Mcclure located?
The Simon Mcclure is located at 1160 Johnson Ave, Bridgeport, WV 26330.
What is Simon Mcclure's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Simon Mcclure is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
When did Simon Mcclure receive its 1386677813 assignment?
The Simon Mcclure was assigned its 1386677813 on 2006-07-08, which is the date when this unique identifier was issued to the organization.
As of what date were the Simon Mcclure's details last updated?
The information pertaining to the Simon Mcclure, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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