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JENS F BIRKHOLM D P M INC NPI 1972711273


NPI Information

NPI: 1972711273
Provider Name: JENS F BIRKHOLM D P M INC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
821 E CHAPEL ST STE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-8703
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JENS F BIRKHOLM D P M INC is a foot surgery podiatrist in Santa Maria, CA. JENS F BIRKHOLM D P M INC NPI is 1972711273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

821 E CHAPEL ST STE 101
SANTA MARIA, CA
ZIP 93454-618
Phone: (805) 925-8703
Fax: (805) 349-8315

The provider's authorized official is Jens F,j. Birkholm .
The authorized official title is Owner and has the following contact phone number (805) 925-8703.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryE1444CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10330390001MEDICARE NSCCALIFORNIA
2000E14440MEDICAIDCALIFORNIA
3T10957MEDICARE UPINCALIFORNIA
4WE3320MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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