Timothy Douglas Oldenkamp in Starbuck - Specialist

Timothy Douglas Oldenkamp - NPI 1114141330

Timothy Douglas Oldenkamp is a Specialist in Starbuck, Minnesota. Timothy Douglas Oldenkamp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy Douglas Oldenkamp is 1114141330. The last update date is 2007-07-08.

Timothy Douglas Oldenkamp's current location address is 605 Main Street, Starbuck, Minnesota. You can contact this provider via phone number 3202392217 and fax number 3202397144. The mailing address for Timothy Douglas Oldenkamp is 605 Main Street, Starbuck, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Douglas Oldenkamp
Address 605 Main Street, Starbuck, Minnesota
Phone Number 3202392217
Fax Number 3202397144
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1114141330
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 605 Main Street
City Starbuck
State Minnesota (MN)
Post Code 56381
Phone Number 3202392217
Fax Number 3202397144

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7086
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
057H8OL MN BLUE CROSSBLUE SHIELD
122234 MN UCARE
6406167 MN MEDICA

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FAQs about Timothy Douglas Oldenkamp

What is the Timothy Douglas Oldenkamp's unique identification number?

The Timothy Douglas Oldenkamp has been assigned the NPI (National Provider Identifier) Number 1114141330 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Timothy Douglas Oldenkamp's physical address?

The Timothy Douglas Oldenkamp is physically located at 605 Main Street, in the city of Starbuck, MN, with the postal code 56381.

What is the area of specialization for Timothy Douglas Oldenkamp, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Timothy Douglas Oldenkamp is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1114141330 assigned to Timothy Douglas Oldenkamp?

The Timothy Douglas Oldenkamp was issued its 1114141330 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Timothy Douglas Oldenkamp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy Douglas Oldenkamp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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