Bryan Dewitt Caldwell in Cleveland - Podiatrist

Bryan Dewitt Caldwell - NPI 1366448680

Bryan Dewitt Caldwell is a Podiatrist in Cleveland, Ohio. Bryan Dewitt Caldwell practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bryan Dewitt Caldwell is 1366448680. The last update date is 2008-02-20.

Bryan Dewitt Caldwell's current location address is 4415 Euclid Ave Ste 110, Cleveland, Ohio. You can contact this provider via phone number 2162315612 and fax number 2167215534. The mailing address for Bryan Dewitt Caldwell is 4415 Euclid Ave Ste 110, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan Dewitt Caldwell
Address 4415 Euclid Ave Ste 110, Cleveland, Ohio
Phone Number 2162315612
Fax Number 2167215534
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1366448680
Provider Enumeration Date 2005-06-22
Last Updated Date 2008-02-20

Provider Mailing Address Detail

Address 4415 Euclid Ave Ste 110
City Cleveland
State Ohio (OH)
Post Code 4410337590
Phone Number 2162315612
Fax Number 2167215534

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 36 002681
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
982227 OH --
1563848 OH MEDICAID GROUP
CH5179 OH RR MEDICARE GROUP
480031311 OH RR MEDICARE

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FAQs about Bryan Dewitt Caldwell

What is the unique provider identifier assigned to Bryan Dewitt Caldwell?

The Bryan Dewitt Caldwell has been issued the NPI (National Provider Identifier) 1366448680 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Bryan Dewitt Caldwell?

The Bryan Dewitt Caldwell is physically situated at 4415 Euclid Ave Ste 110, in the city of Cleveland, state of OH, with the postal code 4410337590.

What is Bryan Dewitt Caldwell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bryan Dewitt Caldwell's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.

When did Bryan Dewitt Caldwell receive its 1366448680 assignment?

The Bryan Dewitt Caldwell was assigned its 1366448680 on 2005-06-22, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Bryan Dewitt Caldwell most recently updated or revised?

The details related to Bryan Dewitt Caldwell, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.

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