Charles Harry Haddock in Wisconsin Rapids - Podiatrist
Charles Harry Haddock - NPI 1336168830
Charles Harry Haddock is a Podiatrist in Wisconsin Rapids, Wisconsin. Charles Harry Haddock practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Charles Harry Haddock is 1336168830. The last update date is 2008-09-08.
Charles Harry Haddock's current location address is 940 Pepper Ave, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154214344 and fax number 7154214341. The mailing address for Charles Harry Haddock is 940 Pepper Ave, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Harry Haddock |
|---|---|
| Address | 940 Pepper Ave, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154214344 |
| Fax Number | 7154214341 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1336168830 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 940 Pepper Ave |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 544946307 |
| Phone Number | 7154214344 |
| Fax Number | 7154214341 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 414-025 |
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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 |
|---|---|---|---|
| 391318842 | WI | BLUE CROSS BLUE SHIELD | |
| 39-1318842 | WI | WEA TRUST | |
| 137751120246 | WI | HUMANA | |
| 43225600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Charles Harry Haddock by the Centers for Medicare & Medicaid Services?
The Charles Harry Haddock has been issued the NPI (National Provider Identifier) 1336168830. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles Harry Haddock's physical address?
The Charles Harry Haddock is physically located at 940 Pepper Ave, in the city of Wisconsin Rapids, WI, with the postal code 544946307.
What is Charles Harry Haddock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Harry Haddock's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date was the 1336168830 assigned to Charles Harry Haddock?
The Charles Harry Haddock was issued its 1336168830 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles Harry Haddock most recently updated or revised?
The details related to Charles Harry Haddock, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-08.
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