Sole Foot And Ankle Specialists Pc

LBN: Sole Foot And Ankle Specialists Pc
Sole Foot And Ankle Specialists Pc is an health care organization with primary practice located at 5750 W Thunderbird Rd Ste G700 , Glendale AZ 85306-4673. 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. Sole Foot And Ankle Specialists Pc can be contacted via phone (602) 938-3600, or through Larson, Jay C via phone (602) 938-3600.

Contact Information

Primary practice address
5750 W Thunderbird Rd Ste G700 Glendale AZ 85306-4673
Fax: (602) 938-0400
Website:
Authorized official contact:
Name: Larson, Jay C Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0196 Arizona

Profile Details

NPI number 1710197272
LBN Legal business name Sole Foot And Ankle Specialists Pc
DBA Doing business as
Authorized official Larson, Jay C Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jun 28th, 2021 - about 3 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 1710197272 NPPES
Arizona MEDICAID 700064

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