MARK WEATHERWAX MS NPI 1841768421

NPI Information

NPI: 1841768421
Provider Name: MARK WEATHERWAX, MS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
519 S PARK ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 903-0551
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Mark Weatherwax, MS is an addiction (substance use disorder) counselor in Kalamazoo, MI. Mark Weatherwax, MS NPI is 1841768421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

519 S PARK ST
KALAMAZOO, MI
ZIP 49007-117
Phone: (269) 903-0551

The enumeration date for this NPI number is 11/13/2018 and was last updated on 11/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6301015902	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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