State of Missouri
State of Missouri is a Psychiatry Physician in Nevada, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2323 N Ash StNevada, MO 64772-1054
Phone: (417) 667-7833
Fax: (417) 448-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1114971702 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Nevada Habilitation Center; Nevada Habilitation Center |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Nevada
-
Candice Moore Inc
1600 W Ashland St, Nevada, MO 64772-1712 · (417) 448-5800
-
Dr. Azmi Ramin Jahan, MD
1500 W Ashland St, Nevada, MO 64772-1710 · (417) 448-5623
-
Mohammad A Rasheed, MD
320 Mac Blvd, Nevada, MO 64772-3990 · (888) 403-1071