Jason Etheredge is a Psychiatry in Wichita, Kansas. Jason Etheredge practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jason Etheredge is 1053517573. The last update date is 2008-03-18.
Jason Etheredge's current location address is 1010 N Kansas St, Wichita, Kansas. You can contact this provider via phone number 3162685000. The mailing address for Jason Etheredge is 1010 N Kansas St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Etheredge |
|---|---|
| Address | 1010 N Kansas St, Wichita, Kansas |
| Phone Number | 3162685000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1053517573 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 1010 N Kansas St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672143124 |
| Phone Number | 3162685000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 46821 |
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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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What is the Jason Etheredge's unique identification number?
The Jason Etheredge has been assigned the NPI (National Provider Identifier) Number 1053517573 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jason Etheredge is located?
The Jason Etheredge is situated at the following address: 1010 N Kansas St, Wichita, KS, 672143124.
What is Jason Etheredge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Etheredge is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did the Jason Etheredge receive its 1053517573?
The Jason Etheredge was issued its 1053517573 on 2007-06-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Jason Etheredge's details last updated?
The information pertaining to the Jason Etheredge, including its address, specialty, and other details, was most recently updated on 2008-03-18.
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