Brockton Podiatry Group A Prof Corp

LBN: Brockton Podiatry Group A Prof Corp
Brockton Podiatry Group A Prof Corp is an health care organization with primary practice located at 16 E Fern Ave Suite B, Redlands CA 92373-4000. 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. Brockton Podiatry Group A Prof Corp can be contacted via phone (909) 793-2379, or through Durrant, Michael N via phone (909) 793-2379.

Contact Information

Primary practice address
16 E Fern Ave Suite B Redlands CA 92373-4000
Phone: (909) 793-2379
Fax: (909) 793-9660
Website:
Map and Directions
Authorized official contact:
Name: Durrant, Michael N DPM MPH
Phone: (909) 793-2379

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1514 California

Profile Details

NPI number 1275867228
LBN Legal business name Brockton Podiatry Group A Prof Corp
DBA Doing business as
Authorized official Durrant, Michael N DPM MPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2009
Last updated Mar 22nd, 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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