Boone Podiatry Pa

LBN: Boone Podiatry Pa
Boone Podiatry Pa is an health care organization with primary practice located at 610 State Farm Rd Ste C, Boone NC 28607-4738. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Boone Podiatry Pa can be contacted via phone (828) 265-3668, or through Zimmerman, Paul via phone (828) 265-3668.

Contact Information

Primary practice address
610 State Farm Rd Ste C Boone NC 28607-4738
Phone: (828) 265-3668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, Paul Doctor of Podiatric Medicine (DPM)
Phone: (828) 265-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 354 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 354 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 354 North Carolina

Profile Details

NPI number 1326042979
LBN Legal business name Boone Podiatry Pa
DBA Doing business as
Authorized official Zimmerman, Paul Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 21st, 2015 - about 9 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 1326042979 NPPES
North Carolina Other 0819K BCBS
North Carolina MEDICAID 890819K BCBS

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