Foot And Ankle Centers Of Southeast Missouri
LBN: Missouri Delta Foot And Ankle Centers, Inc
Foot And Ankle Centers Of Southeast Missouri is an health care organization with primary practice located at 522 Virginia St , Sikeston MO 63801-5812. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Missouri Delta Foot And Ankle Centers, Inc can be contacted via phone (573) 472-2202, or through Protzel, Hugh Raymond via phone (573) 472-2202.
Contact Information
Primary practice address
522 Virginia St
Sikeston MO 63801-5812
Phone: (573) 472-2202
Fax: (573) 472-3720
Website:
Authorized official contact:
Name: Protzel, Hugh Raymond Doctor of Podiatric Medicine (DPM)
Phone: (573) 472-2202
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 000625 | Missouri |
Profile Details
| NPI number | 1346389749 |
|---|---|
| LBN Legal business name | Missouri Delta Foot And Ankle Centers, Inc |
| DBA Doing business as | Foot And Ankle Centers Of Southeast Missouri |
| Authorized official | Protzel, Hugh Raymond Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jan 26th, 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 | 1346389749 | NPPES |
| Missouri | Other | 176040 | HEALTHLINK |
| Missouri | MEDICAID | 507579407 | HEALTHLINK |
| Missouri | Other | 55749 | HEALTHLINK |
| Missouri | MEDICAID | 626035208 | HEALTHLINK |
| Missouri | Other | 9890 | HEALTHLINK |
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