White Bear Foot And Ankle Clinic, Inc.

LBN: White Bear Foot And Ankle Clinic, Inc.
White Bear Foot And Ankle Clinic, Inc. is an health care organization with primary practice located at 4653 White Bear Pkwy , White Bear Lake MN 55110-3300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. White Bear Foot And Ankle Clinic, Inc. can be contacted via phone (651) 426-3995, or through Phillips, Christopher via phone (651) 426-3995.

Contact Information

Primary practice address
4653 White Bear Pkwy White Bear Lake MN 55110-3300
Fax: (651) 426-5626
Website:
Authorized official contact:
Name: Phillips, Christopher Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 923 Minnesota

Profile Details

NPI number 1659777290
LBN Legal business name White Bear Foot And Ankle Clinic, Inc.
DBA Doing business as
Authorized official Phillips, Christopher Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2014
Last updated Nov 10th, 2014 - 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 1659777290 NPPES
Minnesota MEDICAID 472603200

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