Organization
JENS F BIRKHOLM D P M INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENS F,J. BIRKHOLM D.P.M. (OWNER)
(805) 925-8703
Entity
Organization
Contact information
Practice address
821 E CHAPEL ST STE 101, SANTA MARIA, CA 93454-4618
(805) 925-8703
(805) 349-8315
Mailing address
821 E CHAPEL ST STE 101, SANTA MARIA, CA 93454-4618
(805) 925-8703
(805) 349-8315
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E1444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E14440
—
CA
Enumeration date
05/18/2007
Last updated
08/04/2010
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