East Valley Footcare Pllc

LBN: East Valley Footcare Pllc
East Valley Footcare Pllc is an health care organization with primary practice located at 6104 E Brown Rd Suite 102, Mesa AZ 85205-4953. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. East Valley Footcare Pllc can be contacted via phone (480) 357-4400, or through Connell, Charles via phone (480) 357-4400.

Contact Information

Primary practice address
6104 E Brown Rd Suite 102 Mesa AZ 85205-4953
Phone: (480) 357-4400
Fax: (480) 807-0800
Website:
Map and Directions
Authorized official contact:
Name: Connell, Charles Doctor of Podiatric Medicine (DPM)
Phone: (480) 357-4400

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 322 Arizona

Profile Details

NPI number 1184737546
LBN Legal business name East Valley Footcare Pllc
DBA Doing business as
Authorized official Connell, Charles Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Apr 23rd, 2013 - about 12 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 1184737546 NPPES
Arizona Other 480032936 RR MEDICARE
Arizona Other 480032937 RR MEDICARE

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