Jonathan F. Ketchum in Rutland - Primary Podiatric Medicine

Jonathan F. Ketchum - NPI 1922195627

Jonathan F. Ketchum is a Primary Podiatric Medicine in Rutland, Massachusetts. Jonathan F. Ketchum practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Jonathan F. Ketchum is 1922195627. The last update date is 2008-03-25.

Jonathan F. Ketchum's current location address is 126 Bushy Ln, Rutland, Massachusetts. You can contact this provider via phone number 5088866280. The mailing address for Jonathan F. Ketchum is 126 Bushy Ln, Rutland, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan F. Ketchum
Address 126 Bushy Ln, Rutland, Massachusetts
Phone Number 5088866280
Fax Number
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1922195627
Provider Enumeration Date 2006-10-06
Last Updated Date 2008-03-25

Provider Mailing Address Detail

Address 126 Bushy Ln
City Rutland
State Massachusetts (MA)
Post Code 15432025
Phone Number 5088866280
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 2087
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y71045 MA BLUE SHIELD OF MA
333402 MA HARVARD PILGRIM HEALTH
19046 MA NEIGHBORHOOD HEALTH
2087 MA TUFTS HEALTH PLAN
316644 MA --
2700355 MA UNITED HEALTHCARE

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FAQs about Jonathan F. Ketchum

What is the unique 10-digit identifier code assigned to Jonathan F. Ketchum by the Centers for Medicare & Medicaid Services?

The Jonathan F. Ketchum has been issued the NPI (National Provider Identifier) 1922195627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jonathan F. Ketchum is located?

The Jonathan F. Ketchum is situated at the following address: 126 Bushy Ln, Rutland, MA, 15432025.

What is the area of specialization for Jonathan F. Ketchum, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jonathan F. Ketchum is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.

On what date did the Centers for Medicare & Medicaid Services assign the 1922195627 to Jonathan F. Ketchum?

The Centers for Medicare & Medicaid Services assigned the 1922195627 to Jonathan F. Ketchum on 2006-10-06.

When was the information regarding Jonathan F. Ketchum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jonathan F. Ketchum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-25.

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