Provider Demographics
NPI:1669595039
Name:SPLETTSTOESSER, JAMES WILFRED (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILFRED
Last Name:SPLETTSTOESSER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1333 DE LA VINA ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3137
Mailing Address - Country:US
Mailing Address - Phone:805-687-6668
Mailing Address - Fax:805-687-6669
Practice Address - Street 1:1333 DE LA VINA ST
Practice Address - Street 2:SUITE E
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3137
Practice Address - Country:US
Practice Address - Phone:805-687-6668
Practice Address - Fax:805-687-6669
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2010-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAE1960213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT11105Medicare UPIN
CAWE1960AMedicare PIN