Breck Michael Tiernan in Joliet - Foot & Ankle Surgery
Breck Michael Tiernan - NPI 1861614380
Breck Michael Tiernan is a Foot & Ankle Surgery in Joliet, Illinois. Breck Michael Tiernan practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Breck Michael Tiernan is 1861614380. The last update date is 2023-10-16.
Breck Michael Tiernan's current location address is 350 Houbolt Rd, Joliet, Illinois. You can contact this provider via phone number 8155530990 and fax number 8155530991. The mailing address for Breck Michael Tiernan is 350 Houbolt Rd, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Breck Michael Tiernan |
|---|---|
| Address | 350 Houbolt Rd, Joliet, Illinois |
| Phone Number | 8155530990 |
| Fax Number | 8155530991 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1861614380 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 350 Houbolt Rd |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604318305 |
| Phone Number | 8155530990 |
| Fax Number | 8155530991 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 16005321 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the unique 10-digit identifier code issued to Breck Michael Tiernan by the Centers for Medicare & Medicaid Services?
The Breck Michael Tiernan has been assigned the NPI (National Provider Identifier) 1861614380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Breck Michael Tiernan's physical address?
The Breck Michael Tiernan is physically located at 350 Houbolt Rd, in the city of Joliet, IL, with the postal code 604318305.
What is the Breck Michael Tiernan's area of specialization and corresponding taxonomy classification?
The Breck Michael Tiernan'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 did the Breck Michael Tiernan receive its 1861614380 assignment from the Centers for Medicare & Medicaid Services?
The Breck Michael Tiernan was assigned its 1861614380 by the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information regarding Breck Michael Tiernan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Breck Michael Tiernan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-16.