Timothy Edwin Phelan in Folsom - Specialist
Timothy Edwin Phelan - NPI 1760543375
Timothy Edwin Phelan is a Specialist in Folsom, California. Timothy Edwin Phelan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy Edwin Phelan is 1760543375. The last update date is 2007-07-08.
Timothy Edwin Phelan's current location address is 1621 Creekside Dr, Folsom, California. You can contact this provider via phone number 9169847428. The mailing address for Timothy Edwin Phelan is 1621 Creekside Dr, Folsom, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Edwin Phelan |
|---|---|
| Address | 1621 Creekside Dr, Folsom, California |
| Phone Number | 9169847428 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760543375 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1621 Creekside Dr |
|---|---|
| City | Folsom |
| State | California (CA) |
| Post Code | 956303493 |
| Phone Number | 9169847428 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G084901 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G084901 | CA | CA LICENSE NUMBER | |
| 00G849011 | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy Edwin Phelan by the Centers for Medicare & Medicaid Services?
The Timothy Edwin Phelan has been issued the NPI (National Provider Identifier) 1760543375, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Edwin Phelan located?
The Timothy Edwin Phelan is located at 1621 Creekside Dr, Folsom, CA 956303493.
What is the Timothy Edwin Phelan's area of specialization and corresponding taxonomy classification?
The Timothy Edwin Phelan's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Timothy Edwin Phelan's 1760543375 issued?
The Timothy Edwin Phelan's 1760543375 was issued on 2006-12-13.
When was the information regarding Timothy Edwin Phelan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy Edwin Phelan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.