William S Rea is a Addiction Medicine in Roanoke, Virginia. William S Rea practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for William S Rea is 1154303618. The last update date is 2011-08-12.
William S Rea's current location address is 2017 Jefferson St Sw, Roanoke, Virginia. You can contact this provider via phone number 5409818025. The mailing address for William S Rea is 2017 Jefferson St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William S Rea |
|---|---|
| Address | 2017 Jefferson St Sw, Roanoke, Virginia |
| Phone Number | 5409818025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154303618 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2011-08-12 |
Provider Mailing Address Detail
| Address | 2017 Jefferson St Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240142419 |
| Phone Number | 5409818025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 0101-226458 |
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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 |
|---|---|---|---|
| 1154303618 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to William S Rea by the Centers for Medicare & Medicaid Services?
The William S Rea has been issued the NPI (National Provider Identifier) 1154303618. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of William S Rea?
The William S Rea is situated at 2017 Jefferson St Sw, in the city of Roanoke, state of VA, with the zip code 240142419.
What is William S Rea's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for William S Rea is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 2084A0401X.
On what date did the William S Rea receive its 1154303618 assignment from the Centers for Medicare & Medicaid Services?
The William S Rea was assigned its 1154303618 by the Centers for Medicare & Medicaid Services on 2005-11-18.
As of what date were the details related to William S Rea most recently updated or revised?
The information pertaining to William S Rea, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-12.