Dr. Jerome Dennis Segel
Podiatrist
20 Pond Rd
West Tisbury
, Massachusetts 02575
Dr. Jerome Dennis Segel
Podiatrist
20 Pond Rd
West Tisbury
, Massachusetts 02575
(508) 696-6461
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Jerome Dennis Segel
- Po Box 3000/ Pmb 3003
- West Tisbury, MA
- Zip : 02575
- Fax : (508) 696-6461
- Phone : (508) 696-6461
Second Address
- Dr. Jerome Dennis Segel
- 20 Pond Rd
- West Tisbury, MA
- Zip : 02575
- Fax : (508) 696-6461
- Phone : (508) 696-6461
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1701 | MA |
| Y | 222Z00000X | Podiatrist | 1701 | MA |
National Provider Identifier
| NPI | 1073501961 |
|---|---|
| Provider Name | Dr. Jerome Dennis Segel |
| First Address | West Tisbury, MA 02575 |
| Second Address | West Tisbury, MA 02575 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 23/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360821 | (05) | MA |
| T58741 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.