Terry J Supan is a Orthotist in Springfield, Illinois. Terry J Supan practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Terry J Supan is 1366461410. The last update date is 2007-07-08.
Terry J Supan's current location address is 355 W Carpenter Street, Springfield, Illinois. You can contact this provider via phone number 2177891450 and fax number 2177891454. The mailing address for Terry J Supan is 355 W Carpenter Street, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry J Supan |
|---|---|
| Address | 355 W Carpenter Street, Springfield, Illinois |
| Phone Number | 2177891450 |
| Fax Number | 2177891454 |
| Sole Proprietor | N |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1366461410 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 355 W Carpenter Street |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627024945 |
| Phone Number | 2177891450 |
| Fax Number | 2177891454 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
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Post Comment/ Review Below
What is the Terry J Supan's 1366461410?
The Terry J Supan's NPI (National Provider Identifier) Number is 1366461410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Terry J Supan located?
The Terry J Supan is located at 355 W Carpenter Street, Springfield, IL 627024945.
What is Terry J Supan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry J Supan's area of specialization is Orthotist, and the corresponding taxonomy code that categorizes this field of practice is 222Z00000X.
When did the Terry J Supan receive its 1366461410?
The Terry J Supan was issued its 1366461410 on 2006-07-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Terry J Supan most recently updated or revised?
The details related to Terry J Supan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.