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Contact Information

EXECUTIVE FOOT CENTER INC
5520 BROADVIEW RD
PARMA, OH44134-1605
 Phone: 800-379-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EXECUTIVE FOOT CENTER INC

NPI Number 1699980276
LBN Legal business name EXECUTIVE FOOT CENTER INC
Authorized official EZRIEL SCHUR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 36002038
OH Medicaid 0465974
OH Other 0005797562 AETNA
OH Other 220PROFMEDDUMY ANTHEM BLUE CROSS & BLUE
OH Other 57116 NATIONWIDE
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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