Drake, Cody M

Drake, Cody M is an individual health care provider with primary practice located at 15 Cleveland Ave Suite 9, Martinsville VA 24112-2937. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Drake, Cody M can be contacted via phone (276) 632-5280.

Contact Information

Primary practice address
15 Cleveland Ave Suite 9 Martinsville VA 24112-2937
Phone: (276) 632-5280
Fax: (276) 632-5257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 304 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000961 Virginia

Profile Details

NPI number 1649271602
LBN Legal business name Drake, Cody M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649271602 NPPES
North Carolina MEDICAID 890812E

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