State Of Missouri in Jefferson City - Psychiatry
State Of Missouri - NPI 1376753798
State Of Missouri is a Psychiatry in Jefferson City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for State Of Missouri is 1376753798. The last update date is 2020-10-27.
State Of Missouri's current location address is 1706 E Elm St, Jefferson City, Missouri. You can contact this provider via phone number 5737513398 and fax number 5735264560. The mailing address for State Of Missouri is 1706 E Elm St, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 1706 E Elm St, Jefferson City, Missouri |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1376753798 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-10-27 |
Provider Mailing Address Detail
| Address | 1706 E Elm St |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651014130 |
| Phone Number | 5737513398 |
| Fax Number | 5735264560 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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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 |
|---|---|---|---|
| 501774004 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to State Of Missouri by the Centers for Medicare & Medicaid Services?
The State Of Missouri has been assigned the NPI (National Provider Identifier) 1376753798 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where State Of Missouri is located?
The State Of Missouri is situated at the following address: 1706 E Elm St, Jefferson City, MO, 651014130.
What is State Of Missouri's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Of Missouri is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the State Of Missouri receive the assignment of its 1376753798 from the Centers for Medicare & Medicaid Services?
The State Of Missouri was issued its 1376753798 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the State Of Missouri's details last updated?
The information pertaining to the State Of Missouri, including its address, specialty, and other details, was most recently updated on 2020-10-27.
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