Craig Jon Vine is a Psychiatry in St Paul, Minnesota. Craig Jon Vine practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Craig Jon Vine is 1164400495. The last update date is 2013-02-10.
Craig Jon Vine's current location address is 2550 University Avenue West, St Paul, Minnesota. You can contact this provider via phone number 6516453115 and fax number 6516452752. The mailing address for Craig Jon Vine is 2550 University Avenue West, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Jon Vine |
|---|---|
| Address | 2550 University Avenue West, St Paul, Minnesota |
| Phone Number | 6516453115 |
| Fax Number | 6516452752 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164400495 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2013-02-10 |
Provider Mailing Address Detail
| Address | 2550 University Avenue West |
|---|---|
| City | St Paul |
| State | Minnesota (MN) |
| Post Code | 55114 |
| Phone Number | 6516453115 |
| Fax Number | 6516452752 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 33712 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 317T6VI | MN | BCBS OF MN | |
| 1530494 | MN | MEDICA | |
| 786505800 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Craig Jon Vine by the Centers for Medicare & Medicaid Services (CMS)?
The Craig Jon Vine has been assigned the NPI (National Provider Identifier) 1164400495. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Craig Jon Vine located?
The Craig Jon Vine is located at 2550 University Avenue West, St Paul, MN 55114.
What is Craig Jon Vine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Craig Jon Vine is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Craig Jon Vine receive the assignment of its 1164400495 from the Centers for Medicare & Medicaid Services?
The Craig Jon Vine was issued its 1164400495 by the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information regarding Craig Jon Vine most recently updated?
The details pertaining to the Craig Jon Vine, including its address, specialty, and other relevant information, were last refreshed on 2013-02-10.
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