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Contact Information

DELTA FOOT CARE, P.C.
3802 W KALAMAZOO ST
LANSING, MI48917-3653
 Phone: 517-485-7300
 Fax: 517-485-7301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DELTA FOOT CARE, P.C.

NPI Number 1568501062
LBN Legal business name DELTA FOOT CARE, P.C.
Authorized official BRIAN GOOSEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 04/21/2009 - About 17 years ago
Identifiers
MI License # BG001798
MI Other 480B310270 BCN ADVANTAGE
MI Other 480B310270 BLUE CARE NETWORK
MI Other 201749 MEDICAID MCLAREN
MI Other 0P00920 MEDICARE SECONDARY PAYOR
MI Other 17738 PRIORITY HEALTH
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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