Brutico Foot And Ankle Surgery, Llc

LBN: Brutico Foot And Ankle Surgery, Llc
Brutico Foot And Ankle Surgery, Llc is an health care organization with primary practice located at 255 East Grove Street , Clarks Summit PA 18411. 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. Brutico Foot And Ankle Surgery, Llc can be contacted via phone (570) 936-2960, or through Balsley, Tara via phone (215) 259-5080.

Contact Information

Primary practice address
255 East Grove Street Clarks Summit PA 18411
Phone: (570) 936-2960
Fax: (570) 936-2961
Website:
Map and Directions
Authorized official contact:
Name: Balsley, Tara
Phone: (215) 259-5080

Health care specialties

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

Profile Details

NPI number 1154057362
LBN Legal business name Brutico Foot And Ankle Surgery, Llc
DBA Doing business as
Authorized official Balsley, Tara
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2022
Last updated May 14th, 2024 - about 7 months 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 1154057362 NPPES
Pennsylvania MEDICAID 103894240

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