Lock Haven Podiatry, L.L.C. in Lock Haven - Foot Surgery

Lock Haven Podiatry, L.L.C. - NPI 1407921380

Lock Haven Podiatry, L.L.C. is a Foot Surgery in Lock Haven, Pennsylvania. Lock Haven Podiatry, L.L.C. practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Lock Haven Podiatry, L.L.C. is 1407921380. The last update date is 2020-08-22.

Lock Haven Podiatry, L.L.C.'s current location address is 610 High St, Lock Haven, Pennsylvania. You can contact this provider via phone number 5707481270 and fax number 5707481271. The mailing address for Lock Haven Podiatry, L.L.C. is 610 High St, Lock Haven, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lock Haven Podiatry, L.L.C.
Address 610 High St, Lock Haven, Pennsylvania
Phone Number 5707481270
Fax Number 5707481271
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rossman Charles Mitchell
Credentials D.P.M.
Telephone Number 8143551850

NPI Number Detail

NPI Number 1407921380
Provider Enumeration Date 2006-11-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 610 High St
City Lock Haven
State Pennsylvania (PA)
Post Code 177453018
Phone Number 5707481270
Fax Number 5707481271

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No SC005592
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LO1774288 PA HIGHMARK BCBS
1014668430001 PA --

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FAQs about Lock Haven Podiatry, L.L.C.

What is the Lock Haven Podiatry, L.L.C.'s 1407921380?

The Lock Haven Podiatry, L.L.C.'s NPI (National Provider Identifier) Number is 1407921380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lock Haven Podiatry, L.L.C.'s facilities are situated?

The facilities of Lock Haven Podiatry, L.L.C. are physically located at the following address: 610 High St, Lock Haven, PA, 177453018.

What is Lock Haven Podiatry, L.L.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lock Haven Podiatry, L.L.C. is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407921380 to Lock Haven Podiatry, L.L.C.?

The Centers for Medicare & Medicaid Services originally issued the 1407921380 to Lock Haven Podiatry, L.L.C. on 2006-11-23.

As of what date was the information pertaining to Lock Haven Podiatry, L.L.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lock Haven Podiatry, L.L.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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