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Contact Information

DYNAMIC FOOT CARE LLC
585 WHITE POND DR
SUITE E
AKRON, OH44320-1115
 Phone: 330-869-0669
 Fax: 330-869-5769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DYNAMIC FOOT CARE LLC

NPI # 1700076403
LBN Legal business name DYNAMIC FOOT CARE LLC
Authorized official FELICIA JOHNSON - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2007
Last updated 05/15/2015 - About 11 years ago
Identifiers
OH License # 36.003438
OH Medicaid 2769526
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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