North East Foot Clinic

LBN: North East Foot Clinic
North East Foot Clinic is an health care organization with primary practice located at 90 E Main St Suite 3, North East PA 16428-1319. 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. North East Foot Clinic can be contacted via phone (814) 725-2715, or through Holmes, Morgan Timothy via phone (814) 725-2715.

Contact Information

Primary practice address
90 E Main St Suite 3 North East PA 16428-1319
Phone: (814) 725-2715
Fax: (814) 725-5186
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Morgan Timothy Doctor of Podiatric Medicine (DPM)
Phone: (814) 725-2715

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC003377L Pennsylvania

Profile Details

NPI number 1902011125
LBN Legal business name North East Foot Clinic
DBA Doing business as
Authorized official Holmes, Morgan Timothy Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902011125 NPPES
Pennsylvania MEDICAID 0012954200006

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