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Contact Information

FOOTWISE PODIATRY OF W.VA. INC.
1191 PINEVIEW DR STE H1
MORGANTOWN, WV26505-0480
 Phone: 304-599-9000
 Fax: 304-599-4091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOTWISE PODIATRY OF W.VA. INC.

NPI Number 1447313564
LBN Legal business name FOOTWISE PODIATRY OF W.VA. INC.
Authorized official GORDON MILLER - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 05/12/2022 - About 4 years ago
Identifiers
WV License # 193400000X
WV Medicaid 0008547000
WV Other 001709829 BLUE CROSS
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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