Edmond Mertzenich in Rockford - Podiatrist
Edmond Mertzenich - NPI 1558344598
Edmond Mertzenich is a Podiatrist in Rockford, Illinois. Edmond Mertzenich practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edmond Mertzenich is 1558344598. The last update date is 2012-07-30.
Edmond Mertzenich's current location address is 1200 W. State St, Rockford, Illinois. You can contact this provider via phone number 8154901600 and fax number 8154901485. The mailing address for Edmond Mertzenich is 1200 W. State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmond Mertzenich |
|---|---|
| Address | 1200 W. State St, Rockford, Illinois |
| Phone Number | 8154901600 |
| Fax Number | 8154901485 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1558344598 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2012-07-30 |
Provider Mailing Address Detail
| Address | 1200 W. State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611022112 |
| Phone Number | 8154901600 |
| Fax Number | 8154901485 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16003825 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16003825 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edmond Mertzenich by the Centers for Medicare & Medicaid Services?
The Edmond Mertzenich has been assigned the NPI (National Provider Identifier) 1558344598. 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 Edmond Mertzenich is physically located?
The Edmond Mertzenich is situated at the following address: 1200 W. State St, Rockford, IL 611022112.
What is the area of specialization for Edmond Mertzenich, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edmond Mertzenich is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Edmond Mertzenich receive the assignment of its 1558344598 from the Centers for Medicare & Medicaid Services?
The Edmond Mertzenich was issued its 1558344598 by the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date was the information pertaining to Edmond Mertzenich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edmond Mertzenich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-30.