Carolina Family Foot Care Pc

LBN: Carolina Family Foot Care Pc
Carolina Family Foot Care Pc is an health care organization with primary practice located at 122 North Main Street , Fuquay Varina NC 27526-1933. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Podiatric, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty. Carolina Family Foot Care Pc can be contacted via phone (919) 557-5148, or through Miketa, John P via phone (919) 557-5148.

Contact Information

Primary practice address
122 North Main Street Fuquay Varina NC 27526-1933
Phone: (919) 557-5148
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miketa, John P Doctor of Podiatric Medicine (DPM)
Phone: (919) 557-5148

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1831306711
LBN Legal business name Carolina Family Foot Care Pc
DBA Doing business as
Authorized official Miketa, John P Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 5th, 2008 - about 17 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 1831306711 NPPES
North Carolina MEDICAID 5909182

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