Podiatry West Senior Foot Care Services Pllc
LBN: Podiatry West Senior Foot Care Services Pllc
Podiatry West Senior Foot Care Services Pllc is an health care organization with primary practice located at 56 Benjamin Ave Se , Grand Rapids MI 49506-1628. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Podiatry West Senior Foot Care Services Pllc can be contacted via phone (616) 456-9744, or through Smith, David via phone (616) 456-9744.
Contact Information
Primary practice address
56 Benjamin Ave Se
Grand Rapids MI 49506-1628
Phone: (616) 456-9744
Fax: (616) 451-0717
Website:
Authorized official contact:
Name: Smith, David Doctor of Podiatric Medicine (DPM)
Phone: (616) 456-9744
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001622 | Michigan |
Profile Details
| NPI number | 1467625723 |
|---|---|
| LBN Legal business name | Podiatry West Senior Foot Care Services Pllc |
| DBA Doing business as | |
| Authorized official | Smith, David Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Apr 8th, 2008 - about 17 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 | 1467625723 | NPPES |
| Michigan | MEDICAID | 4461768 |
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