C Brandon Qualls in Providence - Psychiatry
C Brandon Qualls - NPI 1205915840
C Brandon Qualls is a Psychiatry in Providence, Rhode Island. C Brandon Qualls practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for C Brandon Qualls is 1205915840. The last update date is 2018-06-26.
C Brandon Qualls's current location address is 345 Blackstone Blvd, Providence, Rhode Island. You can contact this provider via phone number 4014210060 and fax number 4014216616. The mailing address for C Brandon Qualls is 345 Blackstone Blvd, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C Brandon Qualls |
|---|---|
| Address | 345 Blackstone Blvd, Providence, Rhode Island |
| Phone Number | 4014210060 |
| Fax Number | 4014216616 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205915840 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2018-06-26 |
Provider Mailing Address Detail
| Address | 345 Blackstone Blvd |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2906 |
| Phone Number | 4014210060 |
| Fax Number | 4014216616 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD04942 |
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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 |
|---|---|---|---|
| 9001265 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to C Brandon Qualls by the Centers for Medicare & Medicaid Services?
The C Brandon Qualls has been assigned the NPI (National Provider Identifier) 1205915840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where C Brandon Qualls is located?
The C Brandon Qualls is situated at the following address: 345 Blackstone Blvd, Providence, RI, 2906.
What is the area of specialization for C Brandon Qualls, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for C Brandon Qualls is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date was the 1205915840 assigned to C Brandon Qualls?
The C Brandon Qualls was issued its 1205915840 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the C Brandon Qualls's details last updated?
The information pertaining to the C Brandon Qualls, including its address, specialty, and other details, was most recently updated on 2018-06-26.
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