Powell, Chris M

Powell, Chris M is an individual health care provider with primary practice located at 5027 Central Ave , St Petersburg FL 33710-8240. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Powell, Chris M can be contacted via phone (727) 321-5678.

Contact Information

Primary practice address
5027 Central Ave St Petersburg FL 33710-8240
Fax: (727) 321-5788
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P02943 Florida

Profile Details

NPI number 1013966753
LBN Legal business name Powell, Chris M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013966753 NPPES
Florida MEDICAID 801705

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