Doctor Name: | MR. PHILIP SWEET |
NPI Number: | 1184788895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP MSN APRN BC |
License Number: | MDAC101986 |
Business Practice Address: | 1501 W. Chisholm Alpena, MI - 49707 |
Business Phone Number: | 9893567379 |
Business Fax Number: | |
Mailing Address: | Po Box 11, 2093 Partridge Pt Rd ALPENA |
State: | MI |
Postal Code: | 497075122 |
Phone Number: | 9893569691 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MDAC101986 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |