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Contact Information

AFFILIATED FAN PODIATRY PC
110 N ROBINSON ST STE 105
RICHMOND, VA23220
 Phone: 804-358-9031
 Fax: 804-358-1273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED FAN PODIATRY PC

NPI Number 1346429123
LBN Legal business name AFFILIATED FAN PODIATRY PC
Authorized official WESTON ANGERMEIER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2007
Last updated 09/21/2021 - About 5 years ago
Identifiers
VA License # 0103000600
VA Medicaid 010011825
VA Other P00060306 MEDICARE RAILROAD
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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