Avon Lake Podiatry Inc

LBN: Avon Lake Podiatry Inc
Avon Lake Podiatry Inc is an health care organization with primary practice located at 32730 Walker Rd Suite I-3, Avon Lake OH 44012-4100. 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. Avon Lake Podiatry Inc can be contacted via phone (440) 933-4021, or through Gould, Mark David via phone (440) 933-4021.

Contact Information

Primary practice address
32730 Walker Rd Suite I-3 Avon Lake OH 44012-4100
Fax: (440) 933-7132
Website:
Authorized official contact:
Name: Gould, Mark David Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.002416 Ohio

Profile Details

NPI number 1992864490
LBN Legal business name Avon Lake Podiatry Inc
DBA Doing business as
Authorized official Gould, Mark David Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated May 29th, 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 1992864490 NPPES
Ohio Other 480004004 RAILROAD MEDICARE

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