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Contact Information

PREMIER PODIATRY OF VIRGINIA LLC
10989 RED RUN BLVD
SUITE 208
OWINGS MILLS, MD21117-3283
 Phone: 410-654-8602
 Fax: 410-654-8709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PREMIER PODIATRY OF VIRGINIA LLC

NPI # 1356430078
LBN Legal business name PREMIER PODIATRY OF VIRGINIA LLC
Authorized official FRANKLIN POLUN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 10/23/2007 - About 19 years ago
Identifiers n/a
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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