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Contact Information

MADISON FOOT & ANKLE CARE, PA
25 MADISON PROFESSIONAL PARK
REXBURG, ID83440-2057
 Phone: 208-359-1400
 Fax: 208-356-3387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MADISON FOOT ANKLE CARE PA · (Female)

NPI Number 1912049248
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 11/01/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # P-146
  • ID Medicaid 8077990
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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