Reconstructive Foot Clinic

LBN: Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc
Reconstructive Foot Clinic is an health care organization with primary practice located at 13855 W 9 Mile Rd Suite C, Oak Park MI 48237-2775. 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. Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc can be contacted via phone (248) 545-4110, or through Siddique, Sehra via phone (248) 545-4110.

Contact Information

Primary practice address
13855 W 9 Mile Rd Suite C Oak Park MI 48237-2775
Phone: (248) 545-4110
Fax: (248) 544-2502
Website:
Map and Directions
Authorized official contact:
Name: Siddique, Sehra
Phone: (248) 545-4110

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002201 Michigan

Profile Details

NPI number 1104085083
LBN Legal business name Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc
DBA Doing business as Reconstructive Foot Clinic
Authorized official Siddique, Sehra
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Aug 4th, 2012 - about 12 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 1104085083 NPPES
Other 0P61440 AETNA
MEDICAID 0P61440 AETNA
Other 4856319350 AETNA
Other 6140810001 AETNA

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