Healthcare Provider Details

I. General information

NPI: 1801069398
Provider Name (Legal Business Name): FRANK H TICHAUER, DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W BROAD ST
FALLS CHURCH VA
22046-3120
US

IV. Provider business mailing address

901 W BROAD ST
FALLS CHURCH VA
22046-3120
US

V. Phone/Fax

Practice location:
  • Phone: 703-532-3338
  • Fax: 703-891-0004
Mailing address:
  • Phone: 703-532-3338
  • Fax: 703-891-0004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: FRANK H TICHAUER
Title or Position: OWNER/PODIATRIST
Credential:
Phone: 703-532-3338