Tackle Management Corporation in Manassas - Foot & Ankle Surgery
Tackle Management Corporation - NPI 1033399688
Tackle Management Corporation is a Foot & Ankle Surgery in Manassas, Virginia. Tackle Management Corporation practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Tackle Management Corporation is 1033399688. The last update date is 2007-11-13.
Tackle Management Corporation's current location address is 8637 Mathis Ave, Manassas, Virginia. You can contact this provider via phone number 7033356890. The mailing address for Tackle Management Corporation is 8637 Mathis Ave, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tackle Management Corporation |
|---|---|
| Address | 8637 Mathis Ave, Manassas, Virginia |
| Phone Number | 7033356890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Coates Lynn Theresa |
| Telephone Number | 7033681800 |
NPI Number Detail
| NPI Number | 1033399688 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 8637 Mathis Ave |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201105270 |
| Phone Number | 7033356890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
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 |
|---|---|---|---|
| 296209 | VA | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tackle Management Corporation by the Centers for Medicare & Medicaid Services?
The Tackle Management Corporation has been assigned the NPI (National Provider Identifier) 1033399688 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tackle Management Corporation's facilities are situated?
The facilities of Tackle Management Corporation are physically located at the following address: 8637 Mathis Ave, Manassas, VA, 201105270.
What is the Tackle Management Corporation's area of specialization and corresponding taxonomy classification?
The Tackle Management Corporation's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date was the 1033399688 assigned to Tackle Management Corporation?
The Tackle Management Corporation was issued its 1033399688 on 2007-11-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tackle Management Corporation most recently updated?
The details pertaining to the Tackle Management Corporation, including its address, specialty, and other relevant information, were last refreshed on 2007-11-13.