Easy Stride Pain & Injury Center, Pc

LBN: Easy Stride Pain & Injury Center, Pc
Easy Stride Pain & Injury Center, Pc is an health care organization with primary practice located at 4014 Lancaster Ave # A , Philadelphia PA 19104-1712. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Easy Stride Pain & Injury Center, Pc can be contacted via phone (215) 222-2225, or through Bancroft, J Gregory via phone (215) 222-2225.

Contact Information

Primary practice address
4014 Lancaster Ave # A Philadelphia PA 19104-1712
Fax: (215) 222-3070
Website:
Authorized official contact:
Name: Bancroft, J Gregory Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC-001795-L Pennsylvania

Profile Details

NPI number 1366591596
LBN Legal business name Easy Stride Pain & Injury Center, Pc
DBA Doing business as
Authorized official Bancroft, J Gregory Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 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 1366591596 NPPES
Pennsylvania Other 1073543559 NPI INDIVIDUAL
Pennsylvania MEDICAID 0500527 NPI INDIVIDUAL
Pennsylvania Other 1049959 NPI INDIVIDUAL
Pennsylvania Other 31700 NPI INDIVIDUAL
Pennsylvania Other 0050052704 NPI INDIVIDUAL

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