Teton Foot & Ankle Center, Pc

LBN: Teton Foot & Ankle Center, Pc
Teton Foot & Ankle Center, Pc is an health care organization with primary practice located at 3345 S Holmes Ave , Idaho Falls ID 83404-7981. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Teton Foot & Ankle Center, Pc can be contacted via phone (208) 525-6225, or through James, Michael K via phone (208) 528-6225.

Contact Information

Primary practice address
3345 S Holmes Ave Idaho Falls ID 83404-7981
Phone: (208) 525-6225
Fax: (208) 528-8022
Website:
Map and Directions
Authorized official contact:
Name: James, Michael K Doctor of Podiatric Medicine (DPM)
Phone: (208) 528-6225

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1952654881
LBN Legal business name Teton Foot & Ankle Center, Pc
DBA Doing business as
Authorized official James, Michael K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2012
Last updated Dec 18th, 2013 - about 11 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 1952654881 NPPES
Idaho MEDICAID 1952654881

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