Panhandle Podiatry Pllc

LBN: Panhandle Podiatry Pllc
Panhandle Podiatry Pllc is an health care organization with primary practice located at 489 Mid Atlantic Parkway Suite 1, Martinsburg WV 25404-3594. 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. Panhandle Podiatry Pllc can be contacted via phone (304) 267-3030, or through Mollica, Jennifer Fallon via phone (304) 267-3030.

Contact Information

Primary practice address
489 Mid Atlantic Parkway Suite 1 Martinsburg WV 25404-3594
Phone: (304) 267-3030
Fax: (304) 267-0660
Website:
Map and Directions
Authorized official contact:
Name: Mollica, Jennifer Fallon
Phone: (304) 267-3030

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X WV00358 West Virginia

Profile Details

NPI number 1841479813
LBN Legal business name Panhandle Podiatry Pllc
DBA Doing business as
Authorized official Mollica, Jennifer Fallon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Mar 4th, 2016 - about 8 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 1841479813 NPPES
West Virginia MEDICAID 2102009000

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