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Contact Information

PROVIDENCE PODIATRY CARE, INC
473 E CARNEGIE DRIVE
SUITE 200
SAN BERNARDINO, CA92408
 Phone: 909-244-7430
 Fax: 909-495-1380
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PROVIDENCE PODIATRY CARE INC · (Female)

NPI Number 1376202986
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2021
Last updated 06/21/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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