Allen Park Footcare Specialist Pllc in Allen Park - Podiatric
Allen Park Footcare Specialist Pllc - NPI 1790883056
Allen Park Footcare Specialist Pllc is a Podiatric in Allen Park, Michigan. Allen Park Footcare Specialist Pllc practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Allen Park Footcare Specialist Pllc is 1790883056. The last update date is 2011-11-09.
Allen Park Footcare Specialist Pllc's current location address is 19250 Ecorse Rd, Allen Park, Michigan. You can contact this provider via phone number 3132949700 and fax number 3132949700. The mailing address for Allen Park Footcare Specialist Pllc is 19250 Ecorse Rd, Allen Park, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Allen Park Footcare Specialist Pllc |
|---|---|
| Address | 19250 Ecorse Rd, Allen Park, Michigan |
| Phone Number | 3132949700 |
| Fax Number | 3132949700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Homer E Brian |
| Credentials | D.P.M, P.C |
| Telephone Number | 2482888900 |
NPI Number Detail
| NPI Number | 1790883056 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2011-11-09 |
Provider Mailing Address Detail
| Address | 19250 Ecorse Rd |
|---|---|
| City | Allen Park |
| State | Michigan (MI) |
| Post Code | 481012260 |
| Phone Number | 3132949700 |
| Fax Number | 3132949700 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
| Licence No | 5901001699 |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133153308 | MI | -- | |
| 4319060001 | MI | MEDICARE DME | |
| 0H20650 | MI | BCBSMI DME | |
| P00102057 | MI | RAILROAD MEDICARE | |
| 0H218370 | MI | BCBSMI |
Post Comment/ Review Below
What is the unique provider identifier assigned to Allen Park Footcare Specialist Pllc?
The Allen Park Footcare Specialist Pllc has been issued the NPI (National Provider Identifier) 1790883056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Allen Park Footcare Specialist Pllc?
The Allen Park Footcare Specialist Pllc is physically situated at 19250 Ecorse Rd, in the city of Allen Park, state of MI, with the postal code 481012260.
What is Allen Park Footcare Specialist Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Allen Park Footcare Specialist Pllc is Podiatric, and the taxonomy code that categorizes this field of expertise is 261Qp1100X.
When did Allen Park Footcare Specialist Pllc receive its 1790883056 assignment?
The Allen Park Footcare Specialist Pllc was assigned its 1790883056 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Allen Park Footcare Specialist Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Allen Park Footcare Specialist Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-09.