Mark A Stevens in Sheridan - Addiction Psychiatry
Mark A Stevens - NPI 1134145105
Mark A Stevens is a Addiction Psychiatry in Sheridan, . Mark A Stevens practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Mark A Stevens is 1134145105. The last update date is 2023-03-28.
Mark A Stevens's current location address is 1309 Coffeen Ave Ste 1200, Sheridan, . You can contact this provider via phone number 6037241954. The mailing address for Mark A Stevens is 1309 Coffeen Ave Ste 1200, Sheridan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Stevens |
|---|---|
| Address | 1309 Coffeen Ave Ste 1200, Sheridan, |
| Phone Number | 6037241954 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134145105 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 1309 Coffeen Ave Ste 1200 |
|---|---|
| City | Sheridan |
| State | (WY) |
| Post Code | 828015777 |
| Phone Number | 6037241954 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | 2019-02734 |
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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 |
|---|---|---|---|
| 1134145105 | NC | -- | |
| 30008716 | NH | -- | |
| PENDING | NC | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark A Stevens by the Centers for Medicare & Medicaid Services?
The Mark A Stevens has been issued the NPI (National Provider Identifier) 1134145105 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark A Stevens?
The Mark A Stevens is physically situated at 1309 Coffeen Ave Ste 1200, in the city of Sheridan, state of WY, with the postal code 828015777.
What is the Mark A Stevens's specialty and taxonomy code?
The Mark A Stevens's specialty is Addiction Psychiatry, and the corresponding taxonomy code is 2084P0802X.
On what date did the Mark A Stevens receive the assignment of its 1134145105 from the Centers for Medicare & Medicaid Services?
The Mark A Stevens was issued its 1134145105 by the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the Mark A Stevens's information last updated?
The Mark A Stevens's information was last updated on 2023-03-28.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA