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Contact Information

AFFILIATED FAN PODIATRY PC
110 N ROBINSON ST STE 105
RICHMOND, VA23220
 Phone: 804-358-9031
 Fax: 804-358-1273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED FAN PODIATRY PC · (Female)

NPI Number 1346429123
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2007
Last updated 09/21/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0103000600
  • VA Medicaid 010011825
  • VA Other P00060306 MEDICARE RAILROAD
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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