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Contact Information

FIRST STATE FOOT & ANKLE, LLC
4512 KIRKWOOD HIGHWAY SUITE 203
WILMINGTON, DE19808
 Phone: 302-984-0257
 Fax: 302-984-0258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FIRST STATE FOOT ANKLE LLC · (Female)

NPI Number 1154344422
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2006
Last updated 07/07/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # E1-0000143
  • DE Medicaid 1000027213
  • DE Other 7752539 AETNA GROUP #
  • DE Other 2245524000 AMERIHEALTH/ KEYSTONE #
  • DE Other 0001047917 DELAWARE PHYSICIANS INC.
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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