Individual
ANDREW HEWCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
310 W LINE ST, BISHOP, CA 93514-3413
(760) 872-1636
Mailing address
310 W LINE ST, BISHOP, CA 93514-3413
(760) 872-1636
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9503
NV
213E00000X
Podiatrist
E3878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38780
—
CA
01
—
0738750001
DMERC MEDICARE
CA
01
—
480014561
RAILROAD MEDICARE
CA
Enumeration date
12/19/2006
Last updated
05/07/2012
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