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Contact Information

CROSWELL PODIATRY PLLC
2460 BURTON ST SE
SUITE 200
GRAND RAPIDS, MI49546-4800
 Phone: 616-774-9571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CROSWELL PODIATRY PLLC

NPI # 1407833049
LBN Legal business name CROSWELL PODIATRY PLLC
Authorized official CHARLES SOLON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2005
Last updated 09/01/2009 - About 17 years ago
Identifiers
MI Medicaid 4376578
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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