Mercury Podiatry, Inc
LBN: Mercury Podiatry, Inc
Mercury Podiatry, Inc is an health care organization with primary practice located at 4201 Edgmont Ave , Brookhaven PA 19015-2315. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Mercury Podiatry, Inc can be contacted via phone (610) 874-8431, or through Haluska, Paul Frank via phone (610) 874-8431.
Contact Information
Primary practice address
4201 Edgmont Ave
Brookhaven PA 19015-2315
Phone: (610) 874-8431
Fax: (610) 874-8288
Website:
Authorized official contact:
Name: Haluska, Paul Frank Doctor of Podiatric Medicine (DPM)
Phone: (610) 874-8431
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | SC001693L | Pennsylvania |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | SC001693L | Pennsylvania |
Profile Details
| NPI number | 1396758033 |
|---|---|
| LBN Legal business name | Mercury Podiatry, Inc |
| DBA Doing business as | |
| Authorized official | Haluska, Paul Frank Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 7th, 2008 - about 16 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 | 1396758033 | NPPES |
| Pennsylvania | Other | 21283 | HEALTHPARTNERS |
| Pennsylvania | MEDICAID | 00005014350002 | HEALTHPARTNERS |
| Pennsylvania | Other | J88440 | HEALTHPARTNERS |
| Pennsylvania | Other | 088440 | HEALTHPARTNERS |
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