Susan Marie Tanis is a Pediatrics in Apo, . Susan Marie Tanis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Marie Tanis is 1225011695. The last update date is 2008-04-20.
Susan Marie Tanis's current location address is Psc 41, Apo, . You can contact this provider via phone number 441638528926. The mailing address for Susan Marie Tanis is Psc 41, Apo, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Tanis |
|---|---|
| Address | Psc 41, Apo, |
| Phone Number | 441638528926 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1225011695 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | Psc 41 |
|---|---|
| City | Apo |
| State | (AE) |
| Post Code | 9464 |
| Phone Number | 441638528926 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 3963 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identification code assigned to Susan Marie Tanis by the Centers for Medicare & Medicaid Services?
The Susan Marie Tanis has been issued the NPI (National Provider Identifier) 1225011695. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan Marie Tanis is physically located?
The Susan Marie Tanis is situated at the following address: Psc 41, Apo, AE 9464.
What is the Susan Marie Tanis's area of specialization and corresponding taxonomy classification?
The Susan Marie Tanis's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date did the Susan Marie Tanis receive its 1225011695 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marie Tanis was assigned its 1225011695 by the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the information pertaining to Susan Marie Tanis most recently updated or revised?
The details related to Susan Marie Tanis, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-20.