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Contact Information

ALTON PODIATRY CLINIC, P.C.
3535 COLLEGE AVE
ALTON, IL62002-5009
 Phone: 618-462-2316
 Fax: 618-462-0954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALTON PODIATRY CLINIC PC · (Female)

NPI Number 1780707950
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2007
Last updated 11/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016004028
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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