Provider Demographics
NPI:1801069398
Name:FRANK H TICHAUER, DPM PC
Entity type:Organization
Organization Name:FRANK H TICHAUER, DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:H
Authorized Official - Last Name:TICHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-532-3338
Mailing Address - Street 1:901 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3120
Mailing Address - Country:US
Mailing Address - Phone:703-532-3338
Mailing Address - Fax:703-891-0004
Practice Address - Street 1:901 W BROAD ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3120
Practice Address - Country:US
Practice Address - Phone:703-532-3338
Practice Address - Fax:703-891-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0751620001Medicare NSC