The Foot Clinic

LBN: Delta Foot Clinics, Inc
The Foot Clinic is an health care organization with primary practice located at 1814 Mission 66 , Vicksburg MS 39180-3710. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Delta Foot Clinics, Inc can be contacted via phone (601) 638-7520, or through Shockley, Brian Edward via phone (601) 638-7520.

Contact Information

Primary practice address
1814 Mission 66 Vicksburg MS 39180-3710
Phone: (601) 638-7520
Fax: (601) 638-7541
Website:
Map and Directions
Authorized official contact:
Name: Shockley, Brian Edward Doctor of Podiatric Medicine (DPM)
Phone: (601) 638-7520

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 80142 Mississippi

Profile Details

NPI number 1962689042
LBN Legal business name Delta Foot Clinics, Inc
DBA Doing business as The Foot Clinic
Authorized official Shockley, Brian Edward Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 28th, 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 1962689042 NPPES
Mississippi Other 4342670001 MEDOCARE DME
Mississippi Other 1851563 MEDOCARE DME
Mississippi MEDICAID 00119033 MEDOCARE DME
Mississippi Other 430434140A MEDOCARE DME
Mississippi Other 5963224 MEDOCARE DME
Mississippi MEDICAID 1540447 MEDOCARE DME
Mississippi Other 480026580 MEDOCARE DME
Mississippi Other 412865 MEDOCARE DME

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