Feetlabs Sc

LBN: Feetlabs Sc
Feetlabs Sc is an health care organization with primary practice located at 1207 S Mattis Ave Ste 1 , Champaign IL 61821-4862. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Feetlabs Sc can be contacted via phone (217) 607-1186, or through Walters, Robert Gregory via phone (217) 607-1186.

Contact Information

Primary practice address
1207 S Mattis Ave Ste 1 Champaign IL 61821-4862
Phone: (217) 607-1186
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walters, Robert Gregory Doctor of Podiatric Medicine (DPM)
Phone: (217) 607-1186

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 016005102 Illinois

Profile Details

NPI number 1518393941
LBN Legal business name Feetlabs Sc
DBA Doing business as
Authorized official Walters, Robert Gregory Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated Mar 28th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518393941 NPPES
Illinois MEDICAID 19321186431

Popular Providers