Mrs. Nancy Jeanne Tolk
Orthotic Fitter
1013 Valley View Road
Fortuna
, California 95540-2229
Mrs. Nancy Jeanne Tolk
Orthotic Fitter
1013 Valley View Road
Fortuna
, California 95540-2229
(707) 725-6116
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Nancy Jeanne Tolk
- Po Box 725 1013 Valley View Road
- Fortuna, CA
- Zip : 95540-2229
- Fax : (707) 725-6116
- Phone : (707) 725-6116
Second Address
- Mrs. Nancy Jeanne Tolk
- 1013 Valley View Road
- Fortuna, CA
- Zip : 95540-2229
- Fax : (707) 725-6116
- Phone : (707) 725-6116
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1033284039 |
|---|---|
| Provider Name | Mrs. Nancy Jeanne Tolk |
| First Address | Fortuna, CA 95540-2229 |
| Second Address | Fortuna, CA 95540-2229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2275 | REGISTERED (01) | |
| C17591 | BOARD OF CERTIFICATION NU (01) |
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.