Phillips Foot Clinic

LBN: Phillips Foot Clinic
Phillips Foot Clinic is an health care organization with primary practice located at 5575 Conner St Suite 203, Detroit MI 48213-6400. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Phillips Foot Clinic can be contacted via phone (313) 499-8307, or through Phillips, Jacqueline via phone (313) 499-8307.

Contact Information

Primary practice address
5575 Conner St Suite 203 Detroit MI 48213-6400
Phone: (313) 499-8307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jacqueline Doctor of Podiatric Medicine (DPM)
Phone: (313) 499-8307

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001422 Michigan

Profile Details

NPI number 1295123180
LBN Legal business name Phillips Foot Clinic
DBA Doing business as Phillips Foot Clinic
Authorized official Phillips, Jacqueline Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2014
Last updated Feb 18th, 2015 - about 10 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 1295123180 NPPES
Michigan MEDICAID 1821027756

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