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NPI Code Detail

MEDICARE: MR. ADAM E BURNFIN CDCA II

MEDICARE: MR. ADAM E BURNFIN CDCA II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA186024OH

General Provider Information

NPI Number : 1518646405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM E BURNFIN CDCA II
Provider Business Mailing Address
First Line : 244 N ENTERPRISE ST APT E
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2545
Country : US
Telephone Number : 614-264-1733
Fax Number :
Provider Business Practice Location Address
First Line : 4352 W SYLVANIA AVE STE A
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3441
Country : US
Telephone Number : 419-561-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 09/19/2024

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