Jeffrey John Wilson in Roanoke - Addiction Psychiatry
Jeffrey John Wilson - NPI 1811015092
Jeffrey John Wilson is a Addiction Psychiatry in Roanoke, Virginia. Jeffrey John Wilson practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Jeffrey John Wilson is 1811015092. The last update date is 2014-12-24.
Jeffrey John Wilson's current location address is 2017 Jefferson St Sw, Roanoke, Virginia. You can contact this provider via phone number 5408530900 and fax number 5408530518. The mailing address for Jeffrey John Wilson is 2017 Jefferson St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey John Wilson |
|---|---|
| Address | 2017 Jefferson St Sw, Roanoke, Virginia |
| Phone Number | 5408530900 |
| Fax Number | 5408530518 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811015092 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2014-12-24 |
Provider Mailing Address Detail
| Address | 2017 Jefferson St Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240142419 |
| Phone Number | 5408530900 |
| Fax Number | 5408530518 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | 8225057 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VVD703A | VA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey John Wilson by the Centers for Medicare & Medicaid Services?
The Jeffrey John Wilson has been issued the NPI (National Provider Identifier) 1811015092 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeffrey John Wilson's physical address?
The Jeffrey John Wilson is physically located at 2017 Jefferson St Sw, in the city of Roanoke, VA, with the postal code 240142419.
What is Jeffrey John Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey John Wilson is Addiction Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0802X.
On what date did Jeffrey John Wilson receive its 1811015092 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey John Wilson was assigned its 1811015092 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeffrey John Wilson's information last updated?
The Jeffrey John Wilson's information was last updated on 2014-12-24.