Area Wide Foot & Ankle Center, P.C.
LBN: Area Wide Foot & Ankle Center, P.C.
Area Wide Foot & Ankle Center, P.C. is an health care organization with primary practice located at 1967 Spruce Hills Dr , Bettendorf IA 52722-2624. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty.
Area Wide Foot & Ankle Center, P.C. can be contacted via phone (563) 441-0117, or through Licandro, Jim Paul via phone (563) 441-0117.
Contact Information
Primary practice address
1967 Spruce Hills Dr
Bettendorf IA 52722-2624
Phone: (563) 441-0117
Fax: (563) 355-7396
Website:
Authorized official contact:
Name: Licandro, Jim Paul Doctor of Podiatric Medicine (DPM)
Phone: (563) 441-0117
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00705 | Iowa |
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | 00705 | Iowa |
Profile Details
| NPI number | 1336327642 |
|---|---|
| LBN Legal business name | Area Wide Foot & Ankle Center, P.C. |
| DBA Doing business as | |
| Authorized official | Licandro, Jim Paul Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2008 |
| Last updated | Mar 8th, 2008 - about 17 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 | 1336327642 | NPPES |
| Iowa | MEDICAID | 1197210 |
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