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Contact Information

SUBURBAN FOOT CARE LTD
456 N NEW BALLAS RD
SUITE 250
SAINT LOUIS, MO63141-6831
 Phone: 314-997-1315
 Fax: 314-997-2014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SUBURBAN FOOT CARE LTD · (Female)

NPI # 1407994585
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2007
Last updated 04/21/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 000410
  • MO Medicaid 505468702
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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