Rock River Foot & Ankle Clinic, Sc
LBN: Rock River Foot & Ankle Clinic, Sc
Rock River Foot & Ankle Clinic, Sc is an health care organization with primary practice located at 1025 Mulberry St , Lake Mills WI 53551-1304. 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.
Rock River Foot & Ankle Clinic, Sc can be contacted via phone (920) 261-9591, or through Soderstrom, Victor Stephen via phone (920) 261-9610.
Contact Information
Primary practice address
1025 Mulberry St
Lake Mills WI 53551-1304
Phone: (920) 261-9591
Fax: (920) 261-9671
Website:
Authorized official contact:
Name: Soderstrom, Victor Stephen Doctor of Podiatric Medicine (DPM)
Phone: (920) 261-9610
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1689716516 |
|---|---|
| LBN Legal business name | Rock River Foot & Ankle Clinic, Sc |
| DBA Doing business as | |
| Authorized official | Soderstrom, Victor Stephen Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Nov 1st, 2007 - 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 | 1689716516 | NPPES |
| Wisconsin | MEDICAID | 43264800 |
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