Phyllis Eason is a Psychiatry in Fargo, North Dakota. Phyllis Eason practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Phyllis Eason is 1174596746. The last update date is 2013-11-04.
Phyllis Eason's current location address is 100 4th St S, Fargo, North Dakota. You can contact this provider via phone number 7012343100 and fax number 7012343120. The mailing address for Phyllis Eason is 100 4th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Eason |
|---|---|
| Address | 100 4th St S, Fargo, North Dakota |
| Phone Number | 7012343100 |
| Fax Number | 7012343120 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174596746 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2013-11-04 |
Provider Mailing Address Detail
| Address | 100 4th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581031929 |
| Phone Number | 7012343100 |
| Fax Number | 7012343120 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 43926 |
|
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 |
|---|---|---|---|
| 18207 | ND | -- | |
| 1174596746 | MN | -- |
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What is the unique 10-digit identification code assigned to Phyllis Eason by the Centers for Medicare & Medicaid Services?
The Phyllis Eason has been issued the NPI (National Provider Identifier) 1174596746, 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 Phyllis Eason?
The Phyllis Eason is physically situated at 100 4Th St S, in the city of Fargo, state of ND, with the postal code 581031929.
What is the Phyllis Eason's area of specialization and corresponding taxonomy classification?
The Phyllis Eason's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1174596746 to Phyllis Eason?
The Phyllis Eason received its 1174596746 assignment from the Centers for Medicare & Medicaid Services on 2006-02-13.
As of what date were the details pertaining to Phyllis Eason last refreshed?
The information related to the Phyllis Eason, including its address, specialty, and other relevant details, was last updated on 2013-11-04.
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