Blue Water Podiatry Pc

LBN: Blue Water Podiatry Pc
Blue Water Podiatry Pc is an health care organization with primary practice located at 1060 S Van Dyke Rd Suite 100, Bad Axe MI 48413-9631. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Blue Water Podiatry Pc can be contacted via phone (989) 269-9575, or through Ernst, Thomas via phone (989) 269-9575.

Contact Information

Primary practice address
1060 S Van Dyke Rd Suite 100 Bad Axe MI 48413-9631
Phone: (989) 269-9575
Fax: (989) 269-9576
Website:
Map and Directions
Authorized official contact:
Name: Ernst, Thomas Doctor of Podiatric Medicine (DPM)
Phone: (989) 269-9575

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 59000955 Michigan

Profile Details

NPI number 1447397138
LBN Legal business name Blue Water Podiatry Pc
DBA Doing business as
Authorized official Ernst, Thomas Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 20th, 2010 - about 14 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 1447397138 NPPES
Michigan MEDICAID 1958354

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