Advanced Foot And Ankle Center Of Kenosha S.C.
LBN: Advanced Foot And Ankle Center Of Kenosha S.C.
Advanced Foot And Ankle Center Of Kenosha S.C. is an health care organization with primary practice located at 2901 35Th St Lower Level South, Kenosha WI 53140-5117. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Advanced Foot And Ankle Center Of Kenosha S.C. can be contacted via phone (262) 652-6555, or through Derouin, Dana via phone (262) 652-6555.
Contact Information
Primary practice address
2901 35Th St Lower Level South
Kenosha WI 53140-5117
Phone: (262) 652-6555
Fax:
Website:
Authorized official contact:
Name: Derouin, Dana Doctor of Podiatric Medicine (DPM)
Phone: (262) 652-6555
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1029-25 | Wisconsin |
Profile Details
| NPI number | 1104279561 |
|---|---|
| LBN Legal business name | Advanced Foot And Ankle Center Of Kenosha S.C. |
| DBA Doing business as | |
| Authorized official | Derouin, Dana Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2016 |
| Last updated | Jul 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104279561 | NPPES |
| Illinois | Other | 1598059354 | NPI |
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