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Contact Information

ADVANCED FOOT & ANKLE CENTER SC
410 E 2ND ST
MERRILL, WI54452-2319
 Phone: 715-536-7444
 Fax: 715-536-1547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT & ANKLE CENTER SC

NPI # 1285834929
LBN Legal business name ADVANCED FOOT & ANKLE CENTER SC
Authorized official JEFF CHISM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2007
Last updated 04/07/2010 - About 16 years ago
Identifiers
WI License # 748
WI Medicaid 43223800
Other 1197940001 DMERC REGION B
WI Other 000086520 RAILROAD MEDICARE
WI Other 000000485016 WI BLUE SHIELD
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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