Northeastern Foot Care Pllc in Tahlequah - Podiatrist
Northeastern Foot Care Pllc - NPI 1093758237
Northeastern Foot Care Pllc is a Podiatrist in Tahlequah, Oklahoma. Northeastern Foot Care Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Northeastern Foot Care Pllc is 1093758237. The last update date is 2020-08-22.
Northeastern Foot Care Pllc's current location address is One Plaza South, Tahlequah, Oklahoma. You can contact this provider via phone number 9184563222 and fax number 9184563196. The mailing address for Northeastern Foot Care Pllc is One Plaza South, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeastern Foot Care Pllc |
|---|---|
| Address | One Plaza South, Tahlequah, Oklahoma |
| Phone Number | 9184563222 |
| Fax Number | 9184563196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Burk C Juliet |
| Credentials | DPM |
| Telephone Number | 9184589888 |
NPI Number Detail
| NPI Number | 1093758237 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | One Plaza South |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 74464 |
| Phone Number | 9184563222 |
| Fax Number | 9184563196 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
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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What is the Northeastern Foot Care Pllc's unique identification number?
The Northeastern Foot Care Pllc has been assigned the NPI (National Provider Identifier) Number 1093758237 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Northeastern Foot Care Pllc's facilities are situated?
The facilities of Northeastern Foot Care Pllc are physically located at the following address: One Plaza South, Tahlequah, OK, 74464.
What is the area of specialization for Northeastern Foot Care Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeastern Foot Care Pllc is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093758237 to Northeastern Foot Care Pllc?
The Northeastern Foot Care Pllc received its 1093758237 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information pertaining to Northeastern Foot Care Pllc most recently updated or revised?
The details related to Northeastern Foot Care Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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