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Contact Information

ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
6296 RUCKER RD
INDIANAPOLIS, IN46220-4852
 Phone: 317-841-9930
 Fax: 317-815-8505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC

NPI # 1255547550
LBN Legal business name ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
Authorized official THOMAS ZUNICA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 07/29/2010 - About 16 years ago
Identifiers
IN License # 07000610A
IN Medicaid 200350690
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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