Advanced Foot Care Center

LBN: Advanced Foot Care Center
Advanced Foot Care Center is an health care organization with primary practice located at 4510 Office Park Dr , Jackson MS 39206-6016. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Advanced Foot Care Center can be contacted via phone (601) 981-3001, or through Cruel, Larry R via phone (601) 981-3001.

Contact Information

Primary practice address
4510 Office Park Dr Jackson MS 39206-6016
Phone: (601) 981-3001
Fax: (601) 981-8999
Website:
Map and Directions
Authorized official contact:
Name: Cruel, Larry R Doctor of Podiatric Medicine (DPM)
Phone: (601) 981-3001

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 80152 Mississippi

Profile Details

NPI number 1497957120
LBN Legal business name Advanced Foot Care Center
DBA Doing business as
Authorized official Cruel, Larry R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 19th, 2008 - about 16 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 1497957120 NPPES
Mississippi MEDICAID 09274794

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