Roland A. Tolliver in Freeport - Foot & Ankle Surgery
Roland A. Tolliver - NPI 1578752796
Roland A. Tolliver is a Foot & Ankle Surgery in Freeport, Illinois. Roland A. Tolliver practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Roland A. Tolliver is 1578752796. The last update date is 2008-06-12.
Roland A. Tolliver's current location address is 1201 W Empire St, Freeport, Illinois. You can contact this provider via phone number 8152328015 and fax number 8152351376. The mailing address for Roland A. Tolliver is 1201 W Empire St, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roland A. Tolliver |
|---|---|
| Address | 1201 W Empire St, Freeport, Illinois |
| Phone Number | 8152328015 |
| Fax Number | 8152351376 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Tolliver A Roland |
| Credentials | D.P.M. |
| Telephone Number | 8152328015 |
NPI Number Detail
| NPI Number | 1578752796 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 1201 W Empire St |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610326106 |
| Phone Number | 8152328015 |
| Fax Number | 8152351376 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16003850 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16003850 | IL | -- | |
| 60201289 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Roland A. Tolliver by the Centers for Medicare & Medicaid Services?
The Roland A. Tolliver has been assigned the NPI (National Provider Identifier) 1578752796. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Roland A. Tolliver is physically located?
The Roland A. Tolliver is situated at the following address: 1201 W Empire St, Freeport, IL 610326106.
What is Roland A. Tolliver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roland A. Tolliver's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did Roland A. Tolliver receive its 1578752796 assignment from the Centers for Medicare & Medicaid Services?
The Roland A. Tolliver was assigned its 1578752796 on 2007-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Roland A. Tolliver, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roland A. Tolliver, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-12.