Blue Water Podiatry Pc in Port Huron - Podiatrist
Blue Water Podiatry Pc - NPI 1760529705
Blue Water Podiatry Pc is a Podiatrist in Port Huron, Michigan. Blue Water Podiatry Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Blue Water Podiatry Pc is 1760529705. The last update date is 2007-10-19.
Blue Water Podiatry Pc's current location address is 828 10th Ave, Port Huron, Michigan. You can contact this provider via phone number 8109824240 and fax number 8109822479. The mailing address for Blue Water Podiatry Pc is 828 10th Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Water Podiatry Pc |
|---|---|
| Address | 828 10th Ave, Port Huron, Michigan |
| Phone Number | 8109824240 |
| Fax Number | 8109822479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ernst K Thomas |
| Credentials | DPM |
| Telephone Number | 8109824240 |
NPI Number Detail
| NPI Number | 1760529705 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 828 10th Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 4806036400 |
| Phone Number | 8109824240 |
| Fax Number | 8109822479 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 59000955 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1958336 | MI | -- |
Post Comment/ Review Below
What is the Blue Water Podiatry Pc's unique identification number?
The Blue Water Podiatry Pc has been assigned the NPI (National Provider Identifier) Number 1760529705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Blue Water Podiatry Pc is physically located?
The Blue Water Podiatry Pc is physically situated at the following address: 828 10Th Ave, Port Huron, MI, 4806036400.
What is Blue Water Podiatry Pc's area of expertise and its corresponding taxonomy classification?
The Blue Water Podiatry Pc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760529705 to Blue Water Podiatry Pc?
The Centers for Medicare & Medicaid Services originally issued the 1760529705 to Blue Water Podiatry Pc on 2007-01-31.
As of what date were the details related to Blue Water Podiatry Pc most recently updated or revised?
The information pertaining to Blue Water Podiatry Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-19.
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