Organization Name: | CHELAN-OKANOGAN FOOT & ANKLE |
NPI Number: | 1700051497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN HORLEBEIN (OWNER) |
Mailing Address: | 503 E Highland Ave Chelan |
State: | WA US |
Postal Code: | 988168631 |
Phone Number: | 5096823300 |
Fax Number: | 5096826131 |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | P0694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |