Enrico Tan is a Podiatrist in Athens, Ohio. Enrico Tan practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Enrico Tan is 1346260429. The last update date is 2011-02-14.
Enrico Tan's current location address is 410 E State St, Athens, Ohio. You can contact this provider via phone number 7405922366 and fax number 7405942871. The mailing address for Enrico Tan is 410 E State St, Athens, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enrico Tan |
|---|---|
| Address | 410 E State St, Athens, Ohio |
| Phone Number | 7405922366 |
| Fax Number | 7405942871 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1346260429 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2011-02-14 |
Provider Mailing Address Detail
| Address | 410 E State St |
|---|---|
| City | Athens |
| State | Ohio (OH) |
| Post Code | 457011819 |
| Phone Number | 7405922366 |
| Fax Number | 7405942871 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 36002613 |
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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 |
|---|---|---|---|
| 765159 | OH | -- | |
| 123607 | OH | ANTHEM BC/BS PROV NUMBER | |
| 784560001 | OH | DMERC |
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What is the unique identifier code issued to Enrico Tan by the Centers for Medicare & Medicaid Services?
The Enrico Tan has been assigned the NPI (National Provider Identifier) 1346260429. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Enrico Tan?
The Enrico Tan is situated at 410 E State St, in the city of Athens, state of OH, with the zip code 457011819.
What is Enrico Tan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Enrico Tan is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Enrico Tan receive its 1346260429 assignment from the Centers for Medicare & Medicaid Services?
The Enrico Tan was assigned its 1346260429 by the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the Enrico Tan's information last updated?
The Enrico Tan's information was last updated on 2011-02-14.
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