Sole Source Podiatry

LBN: Make Yourself, Llc
Sole Source Podiatry is an health care organization with primary practice located at 128 W 5Th St , Peru IN 46970-2139. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Make Yourself, Llc can be contacted via phone (765) 244-7440, or through Hammersley, Bradley R via phone (765) 244-7440.

Contact Information

Primary practice address
128 W 5Th St Peru IN 46970-2139
Phone: (765) 244-7440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hammersley, Bradley R Doctor of Podiatric Medicine (DPM)
Phone: (765) 244-7440

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 07000906A Indiana

Profile Details

NPI number 1174020549
LBN Legal business name Make Yourself, Llc
DBA Doing business as Sole Source Podiatry
Authorized official Hammersley, Bradley R Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2018
Last updated Apr 11th, 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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