Collins Foot & Ankle Clinic, Inc

LBN: Collins Foot & Ankle Clinic, Inc
Collins Foot & Ankle Clinic, Inc is an health care organization with primary practice located at 1377 E 3900 S Suite 100, Salt Lake City UT 84124-1476. 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. Collins Foot & Ankle Clinic, Inc can be contacted via phone (801) 273-0100, or through Collins, Tyler Lewis via phone (801) 273-0100.

Contact Information

Primary practice address
1377 E 3900 S Suite 100 Salt Lake City UT 84124-1476
Fax:
Website:
Authorized official contact:
Name: Collins, Tyler Lewis Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 105502-0501 Utah

Profile Details

NPI number 1609144989
LBN Legal business name Collins Foot & Ankle Clinic, Inc
DBA Doing business as
Authorized official Collins, Tyler Lewis Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609144989 NPPES
Utah MEDICAID 528132679000

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