Foot And Ankle Center Of Southern Maine

LBN: Foot And Ankle Center Of Southern Maine
Foot And Ankle Center Of Southern Maine is an health care organization with primary practice located at 75 Portland Rd , Kennebunk ME 04043-6602. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Foot And Ankle Center Of Southern Maine can be contacted via phone (207) 985-9888, or through Micca, David J via phone (207) 985-9888.

Contact Information

Primary practice address
75 Portland Rd Kennebunk ME 04043-6602
Phone: (207) 985-9888
Fax: (207) 985-3488
Website:
Map and Directions
Authorized official contact:
Name: Micca, David J Doctor of Podiatric Medicine (DPM)
Phone: (207) 985-9888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1427234327
LBN Legal business name Foot And Ankle Center Of Southern Maine
DBA Doing business as
Authorized official Micca, David J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Jun 30th, 2008 - about 17 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 1427234327 NPPES
Maine MEDICAID 133240000

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