Carl Richard Ellis Dpm in Crestview - Podiatrist
Carl Richard Ellis Dpm - NPI 1992985782
Carl Richard Ellis Dpm is a Podiatrist in Crestview, Florida. Carl Richard Ellis Dpm practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Carl Richard Ellis Dpm is 1992985782. The last update date is 2011-09-14.
Carl Richard Ellis Dpm's current location address is 416 Juniper Dr, Crestview, Florida. You can contact this provider via phone number 8506821778. The mailing address for Carl Richard Ellis Dpm is 416 Juniper Dr, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carl Richard Ellis Dpm |
|---|---|
| Address | 416 Juniper Dr, Crestview, Florida |
| Phone Number | 8506821778 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ellis Richard Carl |
| Credentials | DPM |
| Telephone Number | 8506821778 |
NPI Number Detail
| NPI Number | 1992985782 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2011-09-14 |
Provider Mailing Address Detail
| Address | 416 Juniper Dr |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325369223 |
| Phone Number | 8506821778 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carl Richard Ellis Dpm by the Centers for Medicare & Medicaid Services?
The Carl Richard Ellis Dpm has been issued the NPI (National Provider Identifier) 1992985782, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carl Richard Ellis Dpm?
The Carl Richard Ellis Dpm is physically situated at 416 Juniper Dr, in the city of Crestview, state of FL, with the postal code 325369223.
What is the Carl Richard Ellis Dpm's area of specialization and corresponding taxonomy classification?
The Carl Richard Ellis Dpm's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992985782 to Carl Richard Ellis Dpm?
The Centers for Medicare & Medicaid Services originally issued the 1992985782 to Carl Richard Ellis Dpm on 2007-11-08.
As of what date was the information pertaining to Carl Richard Ellis Dpm, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carl Richard Ellis Dpm, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-14.
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