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Contact Information

ADVANCED FOOT AND ANKLE CARE
4642 HILLS DALES RD NW
CANTON, OH44708-1510
 Phone: 330-477-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT AND ANKLE CARE

NPI Number 1023293412
LBN Legal business name ADVANCED FOOT AND ANKLE CARE
Authorized official MARVIN BOREN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2008
Last updated 07/14/2008 - About 18 years ago
Identifiers
OH License # 36. 001949
OH Medicaid 2056466
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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