Timothy A Van Dyne Dpm Inc in Fresno - Podiatric
Timothy A Van Dyne Dpm Inc - NPI 1962629824
Timothy A Van Dyne Dpm Inc is a Podiatric in Fresno, California. Timothy A Van Dyne Dpm Inc practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Timothy A Van Dyne Dpm Inc is 1962629824. The last update date is 2012-02-24.
Timothy A Van Dyne Dpm Inc's current location address is 5777 N Fresno St, Fresno, California. You can contact this provider via phone number 5594350261. The mailing address for Timothy A Van Dyne Dpm Inc is 5777 N Fresno St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy A Van Dyne Dpm Inc |
|---|---|
| Address | 5777 N Fresno St, Fresno, California |
| Phone Number | 5594350261 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Van Dyne Allen Timothy |
| Credentials | DPM |
| Telephone Number | 5594350261 |
NPI Number Detail
| NPI Number | 1962629824 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2012-02-24 |
Provider Mailing Address Detail
| Address | 5777 N Fresno St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937106065 |
| Phone Number | 5594350261 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
| Licence No | E2025 |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E2025 | CA | MEDICARE ID 000E20250 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy A Van Dyne Dpm Inc by the Centers for Medicare & Medicaid Services?
The Timothy A Van Dyne Dpm Inc has been issued the NPI (National Provider Identifier) 1962629824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy A Van Dyne Dpm Inc is physically located?
The Timothy A Van Dyne Dpm Inc is situated at the following address: 5777 N Fresno St, Fresno, CA 937106065.
What is Timothy A Van Dyne Dpm Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy A Van Dyne Dpm Inc is Podiatric, and the taxonomy classification code that categorizes this area of expertise is 261Qp1100X.
On what date did Timothy A Van Dyne Dpm Inc receive its 1962629824 assignment from the Centers for Medicare & Medicaid Services?
The Timothy A Van Dyne Dpm Inc was assigned its 1962629824 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Timothy A Van Dyne Dpm Inc most recently updated?
The details pertaining to the Timothy A Van Dyne Dpm Inc, including its address, specialty, and other relevant information, were last refreshed on 2012-02-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC