Mobile Podiatrist, Pc
LBN: Mobile Podiatrist, Pc
Mobile Podiatrist, Pc is an health care organization with primary practice located at 1558 Victoria Ct , Greenwood IN 46143-7884. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty.
Mobile Podiatrist, Pc can be contacted via phone (317) 697-6536, or through Roge, Irene Erica via phone (317) 697-6536.
Contact Information
Primary practice address
1558 Victoria Ct
Greenwood IN 46143-7884
Phone: (317) 697-6536
Fax: (317) 859-2923
Website:
Authorized official contact:
Name: Roge, Irene Erica Doctor of Podiatric Medicine (DPM)
Phone: (317) 697-6536
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 07001009A | Indiana |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016-004848 | Illinois |
Profile Details
| NPI number | 1861692402 |
|---|---|
| LBN Legal business name | Mobile Podiatrist, Pc |
| DBA Doing business as | |
| Authorized official | Roge, Irene Erica Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jun 3rd, 2011 - about 13 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 | 1861692402 | NPPES |
| Indiana | Other | DF0688 | RAILROAD MEDICARE |
| Indiana | Other | DE1825 | RAILROAD MEDICARE |
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