Jla Senior Footcare Oh Pa Llc

LBN: Jla Senior Footcare Oh Pa Llc
Jla Senior Footcare Oh Pa Llc is an health care organization with primary practice located at 6715 Tippecanoe Rd Bldg F , Canfield OH 44406-8180. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Jla Senior Footcare Oh Pa Llc can be contacted via phone (330) 702-0978, or through Innocenzi, Anthony E via phone (330) 702-0978.

Contact Information

Primary practice address
6715 Tippecanoe Rd Bldg F Canfield OH 44406-8180
Phone: (330) 702-0978
Fax: (330) 286-3202
Website:
Map and Directions
Authorized official contact:
Name: Innocenzi, Anthony E Doctor of Podiatric Medicine (DPM)
Phone: (330) 702-0978

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003012 Ohio

Profile Details

NPI number 1376859298
LBN Legal business name Jla Senior Footcare Oh Pa Llc
DBA Doing business as
Authorized official Innocenzi, Anthony E Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Jun 24th, 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 1376859298 NPPES
Ohio MEDICAID 3095896

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