Brian L Boomgarden MS CADC

  • NPI 1871510677
According to our database, the NPI number for Brian L Boomgarden MS CADC is 1871510677 and activated since 17 years ago. Brian L Boomgarden MS CADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 339 Reed Ave, Manitowoc, WI 54220. You can also contact Brian L Boomgarden MS CADC via telephone number is (920) 320-8600. Provider NPI information was last updated on 06/03/2008.

Recently Active NPIs

Overview of Brian L Boomgarden MS CADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/16/2006
  • Last updated: 06/03/2008

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 11165
  • License State: WI

Provider Mailing Address

  • Address: Po Box 2290
    Manitowoc, WI 54221
  • Phone: 920-320-8600
  • Fax: 920-320-8662

Provider Practice Location

  • Address: 339 Reed Ave
    Manitowoc, WI 54220
  • Phone: 920-320-8600
  • Fax: 920-320-8662

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 11165
  • License State: WI
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 13647
  • Identifier Type: Other
  • Identifier State:
  • Issuer: NETWORK HEALTH PLAN

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 Brian L Boomgarden MS CADC?
  • A: The npi number for Brian L Boomgarden MS CADC is 1871510677.
  • Q: What are Brian L Boomgarden MS CADC's specialties?
  • A: Brian L Boomgarden MS CADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Brian L Boomgarden MS CADC?
  • A: The medical license number for Brian L Boomgarden MS CADC is 11165 and issued in WI in USA.
  • Q: Where is Brian L Boomgarden MS CADC practice location?
  • A: Brian L Boomgarden MS CADC is practicing at 339 Reed Ave, Manitowoc, WI 54220.
  • Q: How to contact Brian L Boomgarden MS CADC?
  • A: You can contact Brian L Boomgarden MS CADC via 920-320-8600.