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Contact Information

EVANSTON FAMILY FOOT CARE
1565 HIGHWAY 150 SOUTH
SUITE C
EVANSTON, WY82930-5348
 Phone: 307-789-8997
 Fax: 307-789-2624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EVANSTON FAMILY FOOT CARE · (Female)

NPI # 1700060902
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2007
Last updated 01/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 127
  • WY Medicaid 1217844 00
  • WY Other DD8254 RAILROAD MEDICARE
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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