Beverly Podiatry
LBN: Beverly Podiatry, Inc
Beverly Podiatry is an health care organization with primary practice located at 900 Cummings Ctr Suite 309V, Beverly MA 01915-6198. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Beverly Podiatry, Inc can be contacted via phone (978) 922-0288, or through Tobin, Timothy via phone (978) 922-0288.
Contact Information
Primary practice address
900 Cummings Ctr Suite 309V
Beverly MA 01915-6198
Phone: (978) 922-0288
Fax: (978) 927-6265
Website:
Authorized official contact:
Name: Tobin, Timothy Doctor of Podiatric Medicine (DPM)
Phone: (978) 922-0288
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1930 | Massachusetts |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1930 | Massachusetts |
Profile Details
| NPI number | 1417134859 |
|---|---|
| LBN Legal business name | Beverly Podiatry, Inc |
| DBA Doing business as | Beverly Podiatry |
| Authorized official | Tobin, Timothy Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | May 11th, 2023 - about last year |
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 | 1417134859 | NPPES |
| Massachusetts | MEDICAID | 0357928 |
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