Breck Tiernan Pc in Joliet - Foot & Ankle Surgery
Breck Tiernan Pc - NPI 1730354382
Breck Tiernan Pc is a Foot & Ankle Surgery in Joliet, Illinois. Breck Tiernan Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Breck Tiernan Pc is 1730354382. The last update date is 2023-10-16.
Breck Tiernan Pc's current location address is 350 Houbolt Rd, Joliet, Illinois. You can contact this provider via phone number 8155530990 and fax number 8155530991. The mailing address for Breck Tiernan Pc is 350 Houbolt Rd, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breck Tiernan Pc |
|---|---|
| Address | 350 Houbolt Rd, Joliet, Illinois |
| Phone Number | 8155530990 |
| Fax Number | 8155530991 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tiernan Michael Breck |
| Credentials | DPM |
| Telephone Number | 8155530990 |
NPI Number Detail
| NPI Number | 1730354382 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 350 Houbolt Rd |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604318305 |
| Phone Number | 8155530990 |
| Fax Number | 8155530991 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16005321 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the unique identifier code issued to Breck Tiernan Pc by the Centers for Medicare & Medicaid Services?
The Breck Tiernan Pc has been assigned the NPI (National Provider Identifier) 1730354382. 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 physical address where Breck Tiernan Pc is located?
The Breck Tiernan Pc is situated at the following address: 350 Houbolt Rd, Joliet, IL, 604318305.
What is the Breck Tiernan Pc's specialty and taxonomy code?
The Breck Tiernan Pc's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date did the Breck Tiernan Pc receive its 1730354382 assignment from the Centers for Medicare & Medicaid Services?
The Breck Tiernan Pc was assigned its 1730354382 by the Centers for Medicare & Medicaid Services on 2008-04-24.
When was the information pertaining to Breck Tiernan Pc most recently updated or revised?
The details related to Breck Tiernan Pc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-16.
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