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Contact Information

FAIRLAWN FOOT & ANKLE CLINIC INC
2640 W MARKET ST
SUITE 301
FAIRLAWN, OH44333-4202
 Phone: 330-864-8501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FAIRLAWN FOOT ANKLE CLINIC INC · (Female)

NPI # 1619189560
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 03/10/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 36-00-3216-K
  • OH Medicaid 2884937
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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