Lafayette Foot & Ankle Llc

LBN: Lafayette Foot & Ankle Llc
Lafayette Foot & Ankle Llc is an health care organization with primary practice located at 2700 Lafayette St Suite 100, Fort Wayne IN 46806-1100. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Lafayette Foot & Ankle Llc can be contacted via phone (260) 458-9953, or through Fair, Benny via phone (260) 458-9953.

Contact Information

Primary practice address
2700 Lafayette St Suite 100 Fort Wayne IN 46806-1100
Fax: (260) 458-9238
Website:
Authorized official contact:
Name: Fair, Benny Doctor of Podiatric Medicine (DPM)

Health care specialties

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

Profile Details

NPI number 1003193814
LBN Legal business name Lafayette Foot & Ankle Llc
DBA Doing business as
Authorized official Fair, Benny Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2011
Last updated May 23rd, 2016 - about 8 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 1003193814 NPPES
Indiana MEDICAID 100082090A

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