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Contact Information

ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
6296 RUCKER RD
INDIANAPOLIS, IN46220-4852
 Phone: 317-841-9930
 Fax: 317-815-8505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC · (Female)

NPI # 1255547550
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2007
Last updated 07/29/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 07000610A
  • IN Medicaid 200350690
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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