Juan Carlos Salazar in Poplar Bluff - Child & Adolescent Psychiatry
Juan Carlos Salazar - NPI 1922041995
Juan Carlos Salazar is a Child & Adolescent Psychiatry in Poplar Bluff, Missouri. Juan Carlos Salazar practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Juan Carlos Salazar is 1922041995. The last update date is 2015-11-25.
Juan Carlos Salazar's current location address is 5716 Lake Shore Dr, Poplar Bluff, Missouri. You can contact this provider via phone number 5736862127 and fax number 5737784156. The mailing address for Juan Carlos Salazar is 5716 Lake Shore Dr, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Carlos Salazar |
|---|---|
| Address | 5716 Lake Shore Dr, Poplar Bluff, Missouri |
| Phone Number | 5736862127 |
| Fax Number | 5737784156 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922041995 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | 5716 Lake Shore Dr |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639019648 |
| Phone Number | 5736862127 |
| Fax Number | 5737784156 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 2000174358 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431116734 | UNITED BEHAVIORAL HEALTH | ||
| 205345804 | MO | -- | |
| 461695 | HEALTHLINK HMO | ||
| 461695 | HEALTHLINK PPO |
Post Comment/ Review Below
What is the Juan Carlos Salazar's 1922041995?
The Juan Carlos Salazar's NPI (National Provider Identifier) Number is 1922041995. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Juan Carlos Salazar is physically located?
The Juan Carlos Salazar is physically situated at the following address: 5716 Lake Shore Dr, Poplar Bluff, MO, 639019648.
What is the area of specialization for Juan Carlos Salazar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Juan Carlos Salazar is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922041995 to Juan Carlos Salazar?
The Centers for Medicare & Medicaid Services assigned the 1922041995 to Juan Carlos Salazar on 2006-06-14.
As of what date were the details pertaining to Juan Carlos Salazar last refreshed?
The information related to the Juan Carlos Salazar, including its address, specialty, and other relevant details, was last updated on 2015-11-25.
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