Dr. Todd Lee Divan
Foot Surgery Foot & Ankle Surgery
1415 E Reelfoot Ave
Union City
, Tennessee 38261-5812
Dr. Todd Lee Divan
Foot Surgery Foot & Ankle Surgery
1415 E Reelfoot Ave
Union City
, Tennessee 38261-5812
(731) 885-0216
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About
Features
Specialties
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Todd Lee Divan
- 1415 E Reelfoot Ave
- Union City, TN
- Zip : 38261-5812
- Fax : (731) 885-0216
- Phone : (731) 885-0220
Second Address
- Dr. Todd Lee Divan
- 1415 E Reelfoot Ave
- Union City, TN
- Zip : 38261-5812
- Fax : (731) 885-0216
- Phone : (731) 885-0220
Reviews
FAQs
Where did Dr. Todd Lee Divan attend graduate school?
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What type of doctor is Dr. Todd Lee Divan
In what state does Dr. Todd Lee Divan practice in?
Where is Dr. Todd Lee Divan ’s practice located?
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Is Dr. Todd Lee Divan a sole practitioner?
Is Dr. Todd Lee Divan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 734 | TN |
| N | 213ES0131X | Foot Surgery | 016-004761 | IL |
National Provider Identifier
| NPI | 1235201898 |
|---|---|
| Provider Name | Dr. Todd Lee Divan |
| First Address | Union City, TN 38261-5812 |
| Second Address | Union City, TN 38261-5812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 02/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016-004-761 | (05) | IL |
| 09206992 | BCBS INSURANCE (01) | IL |
| 10370G7165 | (02) | TN |
| 103I487163 | (02) | TN |
| 480019679 | PALMETTO - MEDICARE (01) | IL |
| U56776 | (02) | IL |
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.