Mark M Fellwock in Indianapolis - Orthopedic
Mark M Fellwock - NPI 1780885590
Mark M Fellwock is a Orthopedic in Indianapolis, Indiana. Mark M Fellwock practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Mark M Fellwock is 1780885590. The last update date is 2009-05-09.
Mark M Fellwock's current location address is 5218 E 70th St, Indianapolis, Indiana. You can contact this provider via phone number 3174659046. The mailing address for Mark M Fellwock is 5218 E 70th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark M Fellwock |
|---|---|
| Address | 5218 E 70th St, Indianapolis, Indiana |
| Phone Number | 3174659046 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1780885590 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2009-05-09 |
Provider Mailing Address Detail
| Address | 5218 E 70th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462203838 |
| Phone Number | 3174659046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 05004294A |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Mark M Fellwock by the Centers for Medicare & Medicaid Services?
The Mark M Fellwock has been assigned the NPI (National Provider Identifier) 1780885590. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark M Fellwock?
The Mark M Fellwock is physically situated at 5218 E 70Th St, in the city of Indianapolis, state of IN, with the postal code 462203838.
What is Mark M Fellwock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark M Fellwock's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
When did Mark M Fellwock receive its 1780885590 assignment?
The Mark M Fellwock was assigned its 1780885590 on 2007-05-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark M Fellwock most recently updated or revised?
The details related to Mark M Fellwock, including its address, specialty, and other relevant information, were last updated or revised on 2009-05-09.
NPI Number: 1215930573
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