Daniel David Sumrok in Mc Kenzie - Addiction Medicine
Daniel David Sumrok - NPI 1669461679
Daniel David Sumrok is a Addiction Medicine in Mc Kenzie, Tennessee. Daniel David Sumrok practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Daniel David Sumrok is 1669461679. The last update date is 2018-03-29.
Daniel David Sumrok's current location address is 1894 Cedar St, Mc Kenzie, Tennessee. You can contact this provider via phone number 7313520603 and fax number 7313520185. The mailing address for Daniel David Sumrok is 1894 Cedar St, Mc Kenzie, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel David Sumrok |
|---|---|
| Address | 1894 Cedar St, Mc Kenzie, Tennessee |
| Phone Number | 7313520603 |
| Fax Number | 7313520185 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669461679 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2018-03-29 |
Provider Mailing Address Detail
| Address | 1894 Cedar St |
|---|---|
| City | Mc Kenzie |
| State | Tennessee (TN) |
| Post Code | 382012206 |
| Phone Number | 7313520603 |
| Fax Number | 7313520185 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 21860 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207113001 | AR | -- | |
| 3063617 | TN | -- | |
| 3488833 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Daniel David Sumrok?
The Daniel David Sumrok has been issued the NPI (National Provider Identifier) 1669461679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Daniel David Sumrok?
The Daniel David Sumrok is situated at 1894 Cedar St, in the city of Mc Kenzie, state of TN, with the zip code 382012206.
What is Daniel David Sumrok's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daniel David Sumrok's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2084A0401X.
When was the Daniel David Sumrok's 1669461679 issued?
The Daniel David Sumrok's 1669461679 was issued on 2005-10-21.
When was the information related to Daniel David Sumrok most recently updated or refreshed?
The details pertaining to the Daniel David Sumrok, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-29.