Chimerofsky, Wade Tyler
Chimerofsky, Wade Tyler is an individual health care provider with primary practice located at 425 Haaland Dr Ste 201 , Thousand Oaks CA 91361-5231. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Chimerofsky, Wade Tyler can be contacted via phone (805) 496-2383.Contact Information
Primary practice address
425 Haaland Dr Ste 201
Thousand Oaks CA 91361-5231
Phone: (805) 496-2383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Connecticut | |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5884 | California |
Profile Details
| NPI number | 1174018287 |
|---|---|
| LBN Legal business name | Chimerofsky, Wade Tyler |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2018 |
| Last updated | Mar 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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