Blue Water Podiatry Pc in Bad Axe - Podiatrist
Blue Water Podiatry Pc - NPI 1447397138
Blue Water Podiatry Pc is a Podiatrist in Bad Axe, Michigan. Blue Water Podiatry Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Blue Water Podiatry Pc is 1447397138. The last update date is 2010-01-20.
Blue Water Podiatry Pc's current location address is 1060 S Van Dyke Rd, Bad Axe, Michigan. You can contact this provider via phone number 9892699575 and fax number 9892699576. The mailing address for Blue Water Podiatry Pc is 1060 S Van Dyke Rd, Bad Axe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Water Podiatry Pc |
|---|---|
| Address | 1060 S Van Dyke Rd, Bad Axe, Michigan |
| Phone Number | 9892699575 |
| Fax Number | 9892699576 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ernst Thomas |
| Credentials | DPM |
| Telephone Number | 9892699575 |
NPI Number Detail
| NPI Number | 1447397138 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 1060 S Van Dyke Rd |
|---|---|
| City | Bad Axe |
| State | Michigan (MI) |
| Post Code | 4841396310 |
| Phone Number | 9892699575 |
| Fax Number | 9892699576 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 59000955 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1958354 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blue Water Podiatry Pc?
The Blue Water Podiatry Pc has been issued the NPI (National Provider Identifier) 1447397138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Blue Water Podiatry Pc's facilities are geographically located?
The facilities of Blue Water Podiatry Pc are physically situated at the following location: 1060 S Van Dyke Rd, Bad Axe, MI, 4841396310.
What is Blue Water Podiatry Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blue Water Podiatry Pc's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447397138 to Blue Water Podiatry Pc?
The Blue Water Podiatry Pc received its 1447397138 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the details related to Blue Water Podiatry Pc most recently updated or revised?
The information pertaining to Blue Water Podiatry Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-20.