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Contact Information

AQUIDNECK PODIATRY LTD
55 MEMORIAL BOULEVARD
SUITE 7
NEWPORT, RI02840-3679
 Phone: 401-846-2800
 Fax: 401-849-4899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AQUIDNECK PODIATRY LTD

NPI # 1164636890
LBN Legal business name AQUIDNECK PODIATRY LTD
Authorized official BRIAN CORNELL - (PRESIDENT AQUIDNECK PODIATRY LTD)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 02/08/2008 - About 18 years ago
Identifiers
RI License # DPM 00195
RI Medicaid 9007121
RI Other 71215 BCBS
RI Other 2700178 UNITED HEALTH
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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