Southern Oregon Foot & Ankle, Llc
LBN: Southern Oregon Foot & Ankle, Llc
Southern Oregon Foot & Ankle, Llc is an health care organization with primary practice located at 1904 E Barnett Rd , Medford OR 97504-8262. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty.
Southern Oregon Foot & Ankle, Llc can be contacted via phone (541) 776-3338, or through Merrill, Evan Chard via phone (541) 776-3338.
Contact Information
Primary practice address
1904 E Barnett Rd
Medford OR 97504-8262
Phone: (541) 776-3338
Fax: (541) 776-4979
Website:
Authorized official contact:
Name: Merrill, Evan Chard Doctor of Podiatric Medicine (DPM)
Phone: (541) 776-3338
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X |
Profile Details
NPI number | 1891980546 |
---|---|
LBN Legal business name | Southern Oregon Foot & Ankle, Llc |
DBA Doing business as | |
Authorized official | Merrill, Evan Chard Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 6th, 2007 |
Last updated | Sep 16th, 2020 - about 4 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 | 1891980546 | NPPES |
Oregon | MEDICAID | 243148 | |
Oregon | Other | 891269000 |
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