Lafayette Foot And Ankle Clinic in Fort Wayne - Primary Podiatric Medicine

Lafayette Foot And Ankle Clinic - NPI 1003099441

Lafayette Foot And Ankle Clinic is a Primary Podiatric Medicine in Fort Wayne, Indiana. Lafayette Foot And Ankle Clinic practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Lafayette Foot And Ankle Clinic is 1003099441. The last update date is 2007-12-07.

Lafayette Foot And Ankle Clinic's current location address is 2700 Lafayette St Ste 230, Fort Wayne, Indiana. You can contact this provider via phone number 2604589953 and fax number 2604589238. The mailing address for Lafayette Foot And Ankle Clinic is 2700 Lafayette St Ste 230, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lafayette Foot And Ankle Clinic
Address 2700 Lafayette St Ste 230, Fort Wayne, Indiana
Phone Number 2604589953
Fax Number 2604589238
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Fair Benny
Credentials DPM
Telephone Number 2604589953

NPI Number Detail

NPI Number 1003099441
Provider Enumeration Date 2007-12-07
Last Updated Date 2007-12-07

Provider Mailing Address Detail

Address 2700 Lafayette St Ste 230
City Fort Wayne
State Indiana (IN)
Post Code 468061100
Phone Number 2604589953
Fax Number 2604589238

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 7000728
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00128864 RR MCR

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FAQs about Lafayette Foot And Ankle Clinic

What is the unique 10-digit identifier code assigned to Lafayette Foot And Ankle Clinic by the Centers for Medicare & Medicaid Services?

The Lafayette Foot And Ankle Clinic has been issued the NPI (National Provider Identifier) 1003099441 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Lafayette Foot And Ankle Clinic is located?

The Lafayette Foot And Ankle Clinic is situated at the following address: 2700 Lafayette St Ste 230, Fort Wayne, IN, 468061100.

What is Lafayette Foot And Ankle Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lafayette Foot And Ankle Clinic is Primary Podiatric Medicine, and the taxonomy code that categorizes this field of expertise is 213Ep1101X.

On what date did the Lafayette Foot And Ankle Clinic receive its 1003099441 assignment from the Centers for Medicare & Medicaid Services?

The Lafayette Foot And Ankle Clinic was assigned its 1003099441 by the Centers for Medicare & Medicaid Services on 2007-12-07.

When was the information regarding Lafayette Foot And Ankle Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lafayette Foot And Ankle Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-07.

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