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Contact Information

EXECUTIVE FOOT CENTER INC
5520 BROADVIEW RD
PARMA, OH44134-1605
 Phone: 800-379-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EXECUTIVE FOOT CENTER INC · (Female)

NPI Number 1699980276
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 36002038
  • OH Medicaid 0465974
  • OH Other 0005797562 AETNA
  • OH Other 220PROFMEDDUMY ANTHEM BLUE CROSS & BLUE
  • OH Other 57116 NATIONWIDE
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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