Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS TIDWELL, CCP
Active Sole ProprietorMR. DOUGLAS TIDWELL, CCP is a Orthotic Fitter healthcare provider located in KETTERING, Ohio. NPI 1265672505 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · KETTERING, OH
Registration Details
- NPI Number
- 1265672505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2009 (17.421866265147 yrs)
- Last Updated
- Feb 26, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
580 LINCOLN PARK BLVDSUITE 322KETTERING, OH, 454293474Browse OH providers · Browse ZIP 45429
- Phone
- 9372976800
- Fax
- 9372976810
- Primary Specialty
-
Orthotic Fitter
242T00000X
Other Orthotic Fitter Providers in KETTERING, OH
| Name | Credential | NPI |
|---|---|---|
| MR. AARON JOSEPH SIEFKER | CCP | 1306091350 |
| MARK NELSON | — | 1457590994 |
| BRIAN CRAWFORD | — | 1710126255 |
| KENNETH GILL | — | 1275772717 |
| SHAWN ELLIS | — | 1700025244 |
| MS. SHARON HALTER | CCP | 1548400880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.