Active Podiatry P.C.

LBN: Active Podiatry P.C.
Active Podiatry P.C. is an health care organization with primary practice located at 1910 Lafayette Rd , Crawfordsville IN 47933-1037. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Active Podiatry P.C. can be contacted via phone (765) 362-7200, or through Chae, Yong S. via phone (317) 328-6622.

Contact Information

Primary practice address
1910 Lafayette Rd Crawfordsville IN 47933-1037
Phone: (765) 362-7200
Fax: (765) 362-4870
Website:
Map and Directions
Authorized official contact:
Name: Chae, Yong S. Doctor of Podiatric Medicine (DPM)
Phone: (317) 328-6622

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000857A Indiana

Profile Details

NPI number 1477739241
LBN Legal business name Active Podiatry P.C.
DBA Doing business as
Authorized official Chae, Yong S. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2008
Last updated Jan 27th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477739241 NPPES
Indiana MEDICAID 200178610B

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