Affiliated Foot Care Center, Llc

LBN: Affiliated Foot Care Center, Llc
Affiliated Foot Care Center, Llc is an health care organization with primary practice located at 470 Main St , Middlefield CT 06455-1210. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Affiliated Foot Care Center, Llc can be contacted via phone (860) 349-8500, or through Fosdick, Gordon E via phone (860) 349-8500.

Contact Information

Primary practice address
470 Main St Middlefield CT 06455-1210
Phone: (860) 349-8500
Fax: (860) 349-3081
Website:
Map and Directions
Authorized official contact:
Name: Fosdick, Gordon E Doctor of Podiatric Medicine (DPM)
Phone: (860) 349-8500

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000723 Connecticut

Profile Details

NPI number 1295807451
LBN Legal business name Affiliated Foot Care Center, Llc
DBA Doing business as
Authorized official Fosdick, Gordon E Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Jan 27th, 2020 - 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 1295807451 NPPES
Connecticut MEDICAID 004206951

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