Jerome Mutchie SAC

  • NPI 1831441039
According to our database, the NPI number for Jerome Mutchie SAC is 1831441039 and activated since 11 years ago. Jerome Mutchie SAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1000 N Lynndale Dr, Appleton, WI 54914. You can also contact Jerome Mutchie SAC via telephone number is (920) 735-9010. Provider NPI information was last updated on 11/25/2014.

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Overview of Jerome Mutchie SAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/11/2012
  • Last updated: 11/25/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 16720-130
  • License State: WI

Provider Mailing Address

  • Address: 1000 N Lynndale Dr
    C
    Appleton, WI 54914
  • Phone: 920-735-9010
  • Fax: 920-735-9050

Provider Practice Location

  • Address: 1000 N Lynndale Dr
    C
    Appleton, WI 54914
  • Phone: 920-735-9010
  • Fax: 920-735-9050

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 16720-130
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 15933-131
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: STATE LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerome Mutchie SAC?
  • A: The npi number for Jerome Mutchie SAC is 1831441039.
  • Q: What are Jerome Mutchie SAC's specialties?
  • A: Jerome Mutchie SAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Jerome Mutchie SAC?
  • A: The medical license number for Jerome Mutchie SAC is 16720-130 and issued in WI in USA.
  • Q: Where is Jerome Mutchie SAC practice location?
  • A: Jerome Mutchie SAC is practicing at 1000 N Lynndale Dr, Appleton, WI 54914.
  • Q: How to contact Jerome Mutchie SAC?
  • A: You can contact Jerome Mutchie SAC via 920-735-9010.