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Contact Information

ASSOCIATED FOOT & ANKLE CLINIC LLC
2950 PRAIRIE AVENUE
3
BELOIT, WI53511-1899
 Phone: 608-362-0758
 Fax: 608-362-7310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ASSOCIATED FOOT & ANKLE CLINIC LLC

NPI Number 1679502843
LBN Legal business name ASSOCIATED FOOT & ANKLE CLINIC LLC
Authorized official ROBERT SAGE - (CO OWNER PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI Medicaid 43264700
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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