Tina R. Entwistle, D.P.M., P.C. in Rockford - Foot & Ankle Surgery
Tina R. Entwistle, D.P.M., P.C. - NPI 1740463678
Tina R. Entwistle, D.P.M., P.C. is a Foot & Ankle Surgery in Rockford, Illinois. Tina R. Entwistle, D.P.M., P.C. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Tina R. Entwistle, D.P.M., P.C. is 1740463678. The last update date is 2011-01-11.
Tina R. Entwistle, D.P.M., P.C.'s current location address is 6778 Mill Rd, Rockford, Illinois. You can contact this provider via phone number 8152270041. The mailing address for Tina R. Entwistle, D.P.M., P.C. is 6778 Mill Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tina R. Entwistle, D.P.M., P.C. |
|---|---|
| Address | 6778 Mill Rd, Rockford, Illinois |
| Phone Number | 8152270041 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Entwistle Renee Tina |
| Credentials | D.P.M. |
| Telephone Number | 8152270041 |
NPI Number Detail
| NPI Number | 1740463678 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 6778 Mill Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082502 |
| Phone Number | 8152270041 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 016-005194 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tina R. Entwistle, D.P.M., P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Tina R. Entwistle, D.P.M., P.C. has been assigned the NPI (National Provider Identifier) 1740463678. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tina R. Entwistle, D.P.M., P.C. is geographically located?
The Tina R. Entwistle, D.P.M., P.C. is physically situated at the following location: 6778 Mill Rd, Rockford, IL, 611082502.
What is Tina R. Entwistle, D.P.M., P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tina R. Entwistle, D.P.M., P.C. is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740463678 to Tina R. Entwistle, D.P.M., P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1740463678 to Tina R. Entwistle, D.P.M., P.C. on 2007-12-13.
When was the information related to Tina R. Entwistle, D.P.M., P.C. most recently updated or refreshed?
The details pertaining to the Tina R. Entwistle, D.P.M., P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-11.
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