Lake Erie Podiatry, Llc

LBN: Lake Erie Podiatry, Llc
Lake Erie Podiatry, Llc is an health care organization with primary practice located at 3910 Caughey Rd Ste 130 , Erie PA 16506. 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. Lake Erie Podiatry, Llc can be contacted via phone (814) 833-3668, or through Ruiz, Michael A via phone (814) 833-3668.

Contact Information

Primary practice address
3910 Caughey Rd Ste 130 Erie PA 16506
Phone: (814) 833-3668
Fax: (888) 329-6120
Website:
Map and Directions
Authorized official contact:
Name: Ruiz, Michael A Doctor of Podiatric Medicine (DPM)
Phone: (814) 833-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC004630L Pennsylvania

Profile Details

NPI number 1922164409
LBN Legal business name Lake Erie Podiatry, Llc
DBA Doing business as
Authorized official Ruiz, Michael A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 10th, 2018 - about 6 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 1922164409 NPPES
Pennsylvania Other 480035188 MEDICARE RRB
Pennsylvania MEDICAID 0019415170002 MEDICARE RRB

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