Ilene Sh Terrell in Fredericksburg - Podiatrist

Ilene Sh Terrell - NPI 1346225257

Ilene Sh Terrell is a Podiatrist in Fredericksburg, Virginia. Ilene Sh Terrell practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Ilene Sh Terrell is 1346225257. The last update date is 2007-10-22.

Ilene Sh Terrell's current location address is 12010 Kilarney Dr, Fredericksburg, Virginia. You can contact this provider via phone number 5405483668 and fax number 5405480019. The mailing address for Ilene Sh Terrell is 12010 Kilarney Dr, Fredericksburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Ilene Sh Terrell
Address 12010 Kilarney Dr, Fredericksburg, Virginia
Phone Number 5405483668
Fax Number 5405480019
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1346225257
Provider Enumeration Date 2005-12-13
Last Updated Date 2007-10-22

Provider Mailing Address Detail

Address 12010 Kilarney Dr
City Fredericksburg
State Virginia (VA)
Post Code 22407
Phone Number 5405483668
Fax Number 5405480019

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 103000702
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
528738 ALLIANCE
214528 ANTHEM
5413632891 COM HEALTH-OPTIMA HLTHPPO
9302417 VA --
5413633289 GEHA
528738 MAMSI

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FAQs about Ilene Sh Terrell

What is the Ilene Sh Terrell's 1346225257?

The Ilene Sh Terrell's NPI (National Provider Identifier) Number is 1346225257. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ilene Sh Terrell's facilities are situated?

The facilities of Ilene Sh Terrell are physically located at the following address: 12010 Kilarney Dr, Fredericksburg, VA, 22407.

What is Ilene Sh Terrell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ilene Sh Terrell is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.

On what date did the Ilene Sh Terrell receive the assignment of its 1346225257 from the Centers for Medicare & Medicaid Services?

The Ilene Sh Terrell was issued its 1346225257 by the Centers for Medicare & Medicaid Services on 2005-12-13.

As of what date was the information regarding Ilene Sh Terrell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ilene Sh Terrell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-22.

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