Randy Stevens Family Footcare

LBN: Randy Ray Stevens
Randy Stevens Family Footcare is an health care organization with primary practice located at 845 Sir Thomas Ct Ste D , Harrisburg PA 17109-4840. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Randy Ray Stevens can be contacted via phone (717) 561-1453, or through Stevens, Randy Ray via phone (717) 561-1453.

Contact Information

Primary practice address
845 Sir Thomas Ct Ste D Harrisburg PA 17109-4840
Fax:
Website:
Authorized official contact:
Name: Stevens, Randy Ray

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1487675203
LBN Legal business name Randy Ray Stevens
DBA Doing business as Randy Stevens Family Footcare
Authorized official Stevens, Randy Ray
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487675203 NPPES
Pennsylvania Other 0007524777 AETNA
Pennsylvania Other 419111 AETNA
Pennsylvania Other 20050085 AETNA
Pennsylvania Other 1814385 AETNA

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