Aquilar Foot Care Clinic

LBN: Arkansas Foot Care Clinic, Inc
Aquilar Foot Care Clinic is an health care organization with primary practice located at 2400 W Main St , Russellville AR 72801-2531. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Arkansas Foot Care Clinic, Inc can be contacted via phone (479) 890-3668, or through Aquilar, Jennifer via phone (479) 970-2832.

Contact Information

Primary practice address
2400 W Main St Russellville AR 72801-2531
Phone: (479) 890-3668
Fax: (479) 890-9513
Website:
Map and Directions
Authorized official contact:
Name: Aquilar, Jennifer
Phone: (479) 970-2832

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X AR141 Arkansas

Profile Details

NPI number 1568465375
LBN Legal business name Arkansas Foot Care Clinic, Inc
DBA Doing business as Aquilar Foot Care Clinic
Authorized official Aquilar, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Nov 30th, 2011 - about 13 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 1568465375 NPPES
Arkansas MEDICAID 139915748
Arkansas Other DE6137
Arkansas Other 5F442

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