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Contact Information

NORTH SIDE FOOT CLINIC P.C.
4451 NATURAL BRIDGE AVE
SUITE 104
SAINT LOUIS, MO63115-2628
 Phone: 314-385-1590
 Fax: 314-385-1606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NORTH SIDE FOOT CLINIC PC · (Female)

NPI # 1194961953
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2008
Last updated 12/29/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 000359
  • Other 1174744320 NPI NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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