Peninsula Podiatry Llc in Sturgeon Bay - Durable Medical Equipment & Medical Supplies
Peninsula Podiatry Llc - NPI 1255425088
Peninsula Podiatry Llc is a Durable Medical Equipment & Medical Supplies in Sturgeon Bay, Wisconsin. Peninsula Podiatry Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Peninsula Podiatry Llc is 1255425088. The last update date is 2008-02-05.
Peninsula Podiatry Llc's current location address is Bldg 4 2, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207436668 and fax number 9207439222. The mailing address for Peninsula Podiatry Llc is Bldg 4 2, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Podiatry Llc |
|---|---|
| Address | Bldg 4 2, Sturgeon Bay, Wisconsin |
| Phone Number | 9207436668 |
| Fax Number | 9207439222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Burkart Gerard Bradley |
| Credentials | DPM |
| Telephone Number | 9207436668 |
NPI Number Detail
| NPI Number | 1255425088 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | Bldg 4 2 |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 542353207 |
| Phone Number | 9207436668 |
| Fax Number | 9207439222 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43267300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peninsula Podiatry Llc by the Centers for Medicare & Medicaid Services?
The Peninsula Podiatry Llc has been issued the NPI (National Provider Identifier) 1255425088, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Peninsula Podiatry Llc is located?
The Peninsula Podiatry Llc is situated at the following address: Bldg 4 2, Sturgeon Bay, WI, 542353207.
What is Peninsula Podiatry Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peninsula Podiatry Llc is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did Peninsula Podiatry Llc receive its 1255425088 assignment from the Centers for Medicare & Medicaid Services?
The Peninsula Podiatry Llc was assigned its 1255425088 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Peninsula Podiatry Llc most recently updated or revised?
The details related to Peninsula Podiatry Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-05.