Podiatry Services Of Idaho, Pllc in Caldwell - Podiatrist
Podiatry Services Of Idaho, Pllc - NPI 1588861405
Podiatry Services Of Idaho, Pllc is a Podiatrist in Caldwell, Idaho. Podiatry Services Of Idaho, Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Podiatry Services Of Idaho, Pllc is 1588861405. The last update date is 2022-03-01.
Podiatry Services Of Idaho, Pllc's current location address is 1105 E Ustick Rd, Caldwell, Idaho. You can contact this provider via phone number 2084026587 and fax number 2084026578. The mailing address for Podiatry Services Of Idaho, Pllc is 1105 E Ustick Rd, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Podiatry Services Of Idaho, Pllc |
|---|---|
| Address | 1105 E Ustick Rd, Caldwell, Idaho |
| Phone Number | 2084026587 |
| Fax Number | 2084026578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Harris Elizabeth Camille |
| Credentials | DPM |
| Telephone Number | 2084026587 |
NPI Number Detail
| NPI Number | 1588861405 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2022-03-01 |
Provider Mailing Address Detail
| Address | 1105 E Ustick Rd |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836056306 |
| Phone Number | 2084026587 |
| Fax Number | 2084026578 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00359 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23111 | OR | -- | |
| P00251554 | OR | RAILROAD MEDICARE | |
| DD5083 | OR | RAILROAD MEDICARE GROUP NUMBER | |
| 4540570001 | OR | MEDICARE DMERC | |
| 807150700 | ID | -- |
Post Comment/ Review Below
What is the Podiatry Services Of Idaho, Pllc's 1588861405?
The Podiatry Services Of Idaho, Pllc's NPI (National Provider Identifier) Number is 1588861405. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Podiatry Services Of Idaho, Pllc is geographically located?
The Podiatry Services Of Idaho, Pllc is physically situated at the following location: 1105 E Ustick Rd, Caldwell, ID, 836056306.
What is Podiatry Services Of Idaho, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Podiatry Services Of Idaho, Pllc is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
When was the Podiatry Services Of Idaho, Pllc's 1588861405 issued?
The Podiatry Services Of Idaho, Pllc's 1588861405 was issued on 2007-07-03.
As of what date was the information pertaining to Podiatry Services Of Idaho, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Podiatry Services Of Idaho, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-01.
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