Martin Bruce Nead in Charleston - Primary Podiatric Medicine

Martin Bruce Nead - NPI 1659407781

Martin Bruce Nead is a Primary Podiatric Medicine in Charleston, Illinois. Martin Bruce Nead practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Martin Bruce Nead is 1659407781. The last update date is 2007-07-09.

Martin Bruce Nead's current location address is 1014 E St, Charleston, Illinois. You can contact this provider via phone number 2173457506 and fax number 2173457507. The mailing address for Martin Bruce Nead is 1014 E St, Charleston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin Bruce Nead
Address 1014 E St, Charleston, Illinois
Phone Number 2173457506
Fax Number 2173457507
Sole Proprietor Y
Credentials D.P.M

NPI Number Detail

NPI Number 1659407781
Provider Enumeration Date 2007-02-25
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1014 E St
City Charleston
State Illinois (IL)
Post Code 619202524
Phone Number 2173457506
Fax Number 2173457507

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00182659 IL RAILROAD MEDICARE
60201211 IL BLUE CROSS BLUE SHIELD

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FAQs about Martin Bruce Nead

What is the Martin Bruce Nead's 1659407781?

The Martin Bruce Nead's NPI (National Provider Identifier) Number is 1659407781. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Martin Bruce Nead located?

The Martin Bruce Nead is located at 1014 E St, Charleston, IL 619202524.

What is Martin Bruce Nead's specialized field of practice, and what is the corresponding taxonomy classification code?

The Martin Bruce Nead's area of specialization is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 213Ep1101X.

When was the Martin Bruce Nead's 1659407781 issued?

The Martin Bruce Nead's 1659407781 was issued on 2007-02-25.

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

The information related to Martin Bruce Nead, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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