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Contact Information

NEAL DIABETIC FOOT AND ANKLE CENTER LLC
W2654 COUNTY ROAD KK
APPLETON, WI54915
 Phone: 920-830-2221
 Fax: 920-257-2180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NEAL DIABETIC FOOT AND ANKLE CENTER LLC · (Female)

NPI Number 1154438810
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2006
Last updated 04/25/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 913-025
  • WI Medicaid 43241700
  • WI Other 5774600001 MEDICARE DMERC
  • WI Other 913-025 PODIATRIC MED & SURG LIC.
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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