Foot & Ankle Clinic Of South Boston Pc
LBN: Foot & Ankle Clinic Of South Boston Pc
Foot & Ankle Clinic Of South Boston Pc is an health care organization with primary practice located at 405 A Oak Lane , South Boston VA 24592. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Foot & Ankle Clinic Of South Boston Pc can be contacted via phone (434) 572-1444, or through Marvin, Michael Alan via phone (434) 572-1444.
Contact Information
Primary practice address
405 A Oak Lane
South Boston VA 24592
Phone: (434) 572-1444
Fax: (434) 575-8159
Website:
Authorized official contact:
Name: Marvin, Michael Alan Doctor of Podiatric Medicine (DPM)
Phone: (434) 572-1444
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0103000792 | Virginia |
Profile Details
| NPI number | 1750323101 |
|---|---|
| LBN Legal business name | Foot & Ankle Clinic Of South Boston Pc |
| DBA Doing business as | |
| Authorized official | Marvin, Michael Alan Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Nov 12th, 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 | 1750323101 | NPPES |
| Other | 480021195 | RAILROAD | |
| Other | VAA102502 | RAILROAD |
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