Family Foot Care Specialists Podiatry Center Inc
LBN: Family Foot Care Specialists Podiatry Center Inc
Family Foot Care Specialists Podiatry Center Inc is an health care organization with primary practice located at 1730 Main St , Fortuna CA 95540-2467. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Family Foot Care Specialists Podiatry Center Inc can be contacted via phone (707) 725-5223, or through Kelley, Neil Robert via phone (707) 725-5223.
Contact Information
Primary practice address
1730 Main St
Fortuna CA 95540-2467
Phone: (707) 725-5223
Fax: (707) 725-2756
Website:
Authorized official contact:
Name: Kelley, Neil Robert Doctor of Podiatric Medicine (DPM)
Phone: (707) 725-5223
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | California | |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | E2321 | California |
Profile Details
NPI number | 1699791160 |
---|---|
LBN Legal business name | Family Foot Care Specialists Podiatry Center Inc |
DBA Doing business as | |
Authorized official | Kelley, Neil Robert Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 15th, 2006 |
Last updated | Aug 29th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699791160 | NPPES |
California | MEDICAID | GRE001770 | |
California | Other | ZZZ64279Z | |
California | Other | ZZZ64278Z |
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