Walter Nicholas Ellis in St Cloud - Podiatrist
Walter Nicholas Ellis - NPI 1588625958
Walter Nicholas Ellis is a Podiatrist in St Cloud, Minnesota. Walter Nicholas Ellis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Walter Nicholas Ellis is 1588625958. The last update date is 2015-01-08.
Walter Nicholas Ellis's current location address is 106 Doctors Park, St Cloud, Minnesota. You can contact this provider via phone number 3202515444 and fax number 3206569590. The mailing address for Walter Nicholas Ellis is 106 Doctors Park, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Nicholas Ellis |
|---|---|
| Address | 106 Doctors Park, St Cloud, Minnesota |
| Phone Number | 3202515444 |
| Fax Number | 3206569590 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1588625958 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2015-01-08 |
Provider Mailing Address Detail
| Address | 106 Doctors Park |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563031207 |
| Phone Number | 3202515444 |
| Fax Number | 3206569590 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 451 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 684025600 | MN | -- |
Post Comment/ Review Below
What is the Walter Nicholas Ellis's 1588625958?
The Walter Nicholas Ellis's NPI (National Provider Identifier) Number is 1588625958. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walter Nicholas Ellis?
The Walter Nicholas Ellis is physically situated at 106 Doctors Park, in the city of St Cloud, state of MN, with the postal code 563031207.
What is Walter Nicholas Ellis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Walter Nicholas Ellis is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did Walter Nicholas Ellis receive its 1588625958 assignment from the Centers for Medicare & Medicaid Services?
The Walter Nicholas Ellis was assigned its 1588625958 on 2006-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Walter Nicholas Ellis most recently updated or revised?
The details related to Walter Nicholas Ellis, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-08.
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