Jefferson City Foot & Ankle Clinic, Llc
LBN: Jefferson City Foot & Ankle Clinic, Llc
Jefferson City Foot & Ankle Clinic, Llc is an health care organization with primary practice located at 1705 Christy Dr , Jefferson City MO 65101-5195. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Jefferson City Foot & Ankle Clinic, Llc can be contacted via phone (573) 638-2655, or through Strong, Jonathon W via phone (573) 638-2655.
Contact Information
Primary practice address
1705 Christy Dr
Jefferson City MO 65101-5195
Phone: (573) 638-2655
Fax: (573) 634-3985
Website:
Authorized official contact:
Name: Strong, Jonathon W Doctor of Podiatric Medicine (DPM)
Phone: (573) 638-2655
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 2002018117 | Missouri |
Profile Details
| NPI number | 1437231420 |
|---|---|
| LBN Legal business name | Jefferson City Foot & Ankle Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Strong, Jonathon W Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 28th, 2012 - about 12 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 | 1437231420 | NPPES |
| Missouri | MEDICAID | 504916909 | |
| Missouri | Other | 000014232 |
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