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Contact Information

FOOT HEALTH CENTER OF MID-MISSOURI LLC
3207 W TRUMAN BLVD
JEFFERSON CITY, MO65109-0892
 Phone: 573-659-2376
 Fax: 573-893-3342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT HEALTH CENTER OF MID MISSOURI LLC · (Female)

NPI # 1427071844
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # MO000667
  • MO Other 4565615 AETNA
  • MO Other 25894 BC/BS
  • MO Other 248520 HEALTHLINK
  • MO Other DF1787 RAILROAD MEDICARE
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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