Croswell Podiatry Pllc

LBN: Croswell Podiatry Pllc
Croswell Podiatry Pllc is an health care organization with primary practice located at 2460 Burton St Se Suite 200, Grand Rapids MI 49546-4800. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Croswell Podiatry Pllc can be contacted via phone (616) 774-9571, or through Solon, Charles R via phone (616) 774-9571.

Contact Information

Primary practice address
2460 Burton St Se Suite 200 Grand Rapids MI 49546-4800
Phone: (616) 774-9571
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Solon, Charles R Doctor of Podiatric Medicine (DPM)
Phone: (616) 774-9571

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1407833049
LBN Legal business name Croswell Podiatry Pllc
DBA Doing business as
Authorized official Solon, Charles R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2005
Last updated Sep 1st, 2009 - about 15 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 1407833049 NPPES
Michigan MEDICAID 4376578

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