Fountain Foot Clinic Pc in Lincoln - Podiatrist

Fountain Foot Clinic Pc - NPI 1578765087

Fountain Foot Clinic Pc is a Podiatrist in Lincoln, Nebraska. Fountain Foot Clinic Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Fountain Foot Clinic Pc is 1578765087. The last update date is 2020-08-22.

Fountain Foot Clinic Pc's current location address is 5835 Vine St, Lincoln, Nebraska. You can contact this provider via phone number 4024665677. The mailing address for Fountain Foot Clinic Pc is 5835 Vine St, Lincoln, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fountain Foot Clinic Pc
Address 5835 Vine St, Lincoln, Nebraska
Phone Number 4024665677
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Fountain Meier Dale
Credentials D.P.M.
Telephone Number 4024665677

NPI Number Detail

NPI Number 1578765087
Provider Enumeration Date 2007-06-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5835 Vine St
City Lincoln
State Nebraska (NE)
Post Code 685052847
Phone Number 4024665677
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 218
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
505963785 NE --
480013496 NE RR MC

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FAQs about Fountain Foot Clinic Pc

What is the unique 10-digit identifier code issued to Fountain Foot Clinic Pc by the Centers for Medicare & Medicaid Services?

The Fountain Foot Clinic Pc has been assigned the NPI (National Provider Identifier) 1578765087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Fountain Foot Clinic Pc's facilities are situated?

The facilities of Fountain Foot Clinic Pc are physically located at the following address: 5835 Vine St, Lincoln, NE, 685052847.

What is the Fountain Foot Clinic Pc's area of specialization and corresponding taxonomy classification?

The Fountain Foot Clinic Pc's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1578765087 to Fountain Foot Clinic Pc?

The Fountain Foot Clinic Pc received its 1578765087 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.

As of what date was the information pertaining to Fountain Foot Clinic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Fountain Foot Clinic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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