Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | CO003619 | |
Y | 222Z00000X | Podiatrist | CO003619 | |
N | 225000000X | Orthotic Fitter | C21078 |
NPI | 1679742373 |
---|---|
Provider Name | Todd M. Ank |
First Address | New Bern, NC 28562-2603 |
Second Address | New Bern, NC 28562-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2008 |
Last Update Date | 27/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7704555 | (05) | NC |