Foot & Ankle Clinic Of Western Oklahoma, Pllc

LBN: Foot & Ankle Clinic Of Western Oklahoma, Pllc
Foot & Ankle Clinic Of Western Oklahoma, Pllc is an health care organization with primary practice located at 2624 W 3Rd St Ste 101, Elk City OK 73644-4341. 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 Western Oklahoma, Pllc can be contacted via phone (580) 225-9955, or through Nelson, Bradley Dewayne via phone (580) 323-5800.

Contact Information

Primary practice address
2624 W 3Rd St Ste 101 Elk City OK 73644-4341
Fax: (580) 225-9954
Website:
Authorized official contact:
Name: Nelson, Bradley Dewayne Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 230 Oklahoma

Profile Details

NPI number 1821264920
LBN Legal business name Foot & Ankle Clinic Of Western Oklahoma, Pllc
DBA Doing business as
Authorized official Nelson, Bradley Dewayne Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2008
Last updated Aug 12th, 2011 - about 14 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 1821264920 NPPES
Oklahoma MEDICAID 200026910A
Oklahoma Other P00162625
Oklahoma MEDICAID 200026900A
Oklahoma Other 200522085

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