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Contact Information

A FOOT DOCTOR, PLLC
2631 12TH AVE S
FARGO, ND58103-8741
 Phone: 701-232-0900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for A FOOT DOCTOR PLLC · (Female)

NPI Number 1255505004
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2008
Last updated 08/02/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • ND License # 52
  • ND Medicaid 13725
  • Other P00320486 RAILROAD MEDICARE
  • MN Other 03N87MO BLUE SHIELD MN GROUP
  • MN Other 126502 HEALTHPARTNERS HPFIN
  • MN Other 2700617 MEDICA
  • ND Other 06796001 BLUE SHIELD GROUP
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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