Manassas Foot Clinic Inc
LBN: Manassas Foot Clinic Inc
Manassas Foot Clinic Inc is an health care organization with primary practice located at 8704 Rolling Rd , Manassas VA 20110-4253. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Manassas Foot Clinic Inc can be contacted via phone (703) 361-3132, or through Bennett, Ricardo M. via phone (703) 361-3132.
Contact Information
Primary practice address
8704 Rolling Rd
Manassas VA 20110-4253
Phone: (703) 361-3132
Fax: (703) 368-0291
Website:
Authorized official contact:
Name: Bennett, Ricardo M. Doctor of Podiatric Medicine (DPM)
Phone: (703) 361-3132
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0103001009 | Virginia |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0103000268 | Virginia |
Profile Details
| NPI number | 1578637633 |
|---|---|
| LBN Legal business name | Manassas Foot Clinic Inc |
| DBA Doing business as | |
| Authorized official | Bennett, Ricardo M. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Dec 18th, 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 | 1578637633 | NPPES |
| Other | 7134 | CAREFIRST | |
| Other | 035461 | CAREFIRST | |
| MEDICAID | 009300627 | CAREFIRST | |
| Other | 21906 | CAREFIRST |
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