Reel Family Foot Clinic, P.A.

LBN: Reel Family Foot Clinic, P.A.
Reel Family Foot Clinic, P.A. is an health care organization with primary practice located at 201 E Parkway Dr , Russellville AR 72801-3913. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Reel Family Foot Clinic, P.A. can be contacted via phone (479) 880-2600, or through Reel, Jason Carroll via phone (479) 880-2600.

Contact Information

Primary practice address
201 E Parkway Dr Russellville AR 72801-3913
Phone: (479) 880-2600
Fax: (479) 880-8076
Website:
Map and Directions
Authorized official contact:
Name: Reel, Jason Carroll Doctor of Podiatric Medicine (DPM)
Phone: (479) 880-2600

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 215 Arkansas

Profile Details

NPI number 1942243787
LBN Legal business name Reel Family Foot Clinic, P.A.
DBA Doing business as
Authorized official Reel, Jason Carroll Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 18th, 2009 - about 16 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 1942243787 NPPES
Arkansas MEDICAID 159972748

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