Personal Footcare Llc
LBN: Personal Footcare Llc
Personal Footcare Llc is an health care organization with primary practice located at 2020 Wakefield Ave , Petersburg VA 23805-2112. 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.
Personal Footcare Llc can be contacted via phone (804) 732-1211, or through Person, Samuel Winfred via phone (804) 732-1211.
Contact Information
Primary practice address
2020 Wakefield Ave
Petersburg VA 23805-2112
Phone: (804) 732-1211
Fax: (804) 733-5946
Website:
Authorized official contact:
Name: Person, Samuel Winfred Doctor of Podiatric Medicine (DPM)
Phone: (804) 732-1211
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 0103000377 | Virginia |
Profile Details
| NPI number | 1487613030 |
|---|---|
| LBN Legal business name | Personal Footcare Llc |
| DBA Doing business as | |
| Authorized official | Person, Samuel Winfred Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | May 18th, 2024 - about last year |
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 | 1487613030 | NPPES |
| Virginia | MEDICAID | 30015890910001 | |
| Virginia | MEDICAID | 009331409 | |
| Virginia | MEDICAID | 30015176580001 |
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