| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Psychiatry & Neurology |
| DEFINITION | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| AREA OF SPECIALIZATION | Addiction Medicine |
| STATUS | Active |
| VA CODE | V182901 |
| X12 CODE | 2084A0401X |
| SPECIALTY CODE | 86 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251973 |
| EFFECTIVE DATE/TIME |
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