Timothy St John in Houghton Lake - Podiatrist

Timothy St John - NPI 1871570416

Timothy St John is a Podiatrist in Houghton Lake, Michigan. Timothy St John practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Timothy St John is 1871570416. The last update date is 2010-01-04.

Timothy St John's current location address is 3179 W Houghton Lake Dr, Houghton Lake, Michigan. You can contact this provider via phone number 9893668332. The mailing address for Timothy St John is 3179 W Houghton Lake Dr, Houghton Lake, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy St John
Address 3179 W Houghton Lake Dr, Houghton Lake, Michigan
Phone Number 9893668332
Fax Number
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1871570416
Provider Enumeration Date 2005-12-24
Last Updated Date 2010-01-04

Provider Mailing Address Detail

Address 3179 W Houghton Lake Dr
City Houghton Lake
State Michigan (MI)
Post Code 486299256
Phone Number 9893668332
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No TS001531
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
3119585 MI --

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FAQs about Timothy St John

What is the unique 10-digit identification code assigned to Timothy St John by the Centers for Medicare & Medicaid Services?

The Timothy St John has been issued the NPI (National Provider Identifier) 1871570416, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Timothy St John is located?

The Timothy St John is situated at the following address: 3179 W Houghton Lake Dr, Houghton Lake, MI, 486299256.

What is Timothy St John's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Timothy St John's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1871570416 to Timothy St John?

The Timothy St John received its 1871570416 assignment from the Centers for Medicare & Medicaid Services on 2005-12-24.

As of what date were the Timothy St John's details last updated?

The information pertaining to the Timothy St John, including its address, specialty, and other details, was most recently updated on 2010-01-04.

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