Wolf River Family Footcare Pllc in Bartlett - Foot & Ankle Surgery
Wolf River Family Footcare Pllc - NPI 1457480683
Wolf River Family Footcare Pllc is a Foot & Ankle Surgery in Bartlett, Tennessee. Wolf River Family Footcare Pllc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Wolf River Family Footcare Pllc is 1457480683. The last update date is 2008-06-05.
Wolf River Family Footcare Pllc's current location address is 7424 Us Highway 64, Bartlett, Tennessee. You can contact this provider via phone number 9013812800 and fax number 9013812677. The mailing address for Wolf River Family Footcare Pllc is 7424 Us Highway 64, Bartlett, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wolf River Family Footcare Pllc |
|---|---|
| Address | 7424 Us Highway 64, Bartlett, Tennessee |
| Phone Number | 9013812800 |
| Fax Number | 9013812677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER SOLE |
|---|---|
| Authorized Official Name | Siciliano Joseph Carl |
| Credentials | D.P.M. |
| Telephone Number | 9013812800 |
NPI Number Detail
| NPI Number | 1457480683 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 7424 Us Highway 64 |
|---|---|
| City | Bartlett |
| State | Tennessee (TN) |
| Post Code | 381333986 |
| Phone Number | 9013812800 |
| Fax Number | 9013812677 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | DPM000000042 |
|
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 |
|---|---|---|---|
| DG7179 | TN | MEDICARE ID TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the Wolf River Family Footcare Pllc's 1457480683?
The Wolf River Family Footcare Pllc's NPI (National Provider Identifier) Number is 1457480683. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wolf River Family Footcare Pllc's facilities are situated?
The facilities of Wolf River Family Footcare Pllc are physically located at the following address: 7424 Us Highway 64, Bartlett, TN, 381333986.
What is Wolf River Family Footcare Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wolf River Family Footcare Pllc'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 the Wolf River Family Footcare Pllc receive its 1457480683 assignment from the Centers for Medicare & Medicaid Services?
The Wolf River Family Footcare Pllc was assigned its 1457480683 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information related to Wolf River Family Footcare Pllc most recently updated or refreshed?
The details pertaining to the Wolf River Family Footcare Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-05.