Crestwood Foot Clinic Llc

LBN: Crestwood Foot Clinic Llc
Crestwood Foot Clinic Llc is an health care organization with primary practice located at 2501 Crestwood Rd Suite 101, North Little Rock AR 72116. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Crestwood Foot Clinic Llc can be contacted via phone (501) 771-4785, or through Jackson, Martha A via phone (501) 771-4785.

Contact Information

Primary practice address
2501 Crestwood Rd Suite 101 North Little Rock AR 72116
Phone: (501) 771-4785
Fax: (501) 771-4787
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Martha A Doctor of Podiatric Medicine (DPM)
Phone: (501) 771-4785

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 87 Arkansas

Profile Details

NPI number 1538321260
LBN Legal business name Crestwood Foot Clinic Llc
DBA Doing business as
Authorized official Jackson, Martha A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2008
Last updated Jul 14th, 2020 - about 4 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 1538321260 NPPES
Arkansas MEDICAID 161125716
Arkansas Other 5659610001

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