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Contact Information

SOLE TO SOUL PODIATRY LLC
3815 S JONES BLVD STE 6
LAS VEGAS, NV89103
 Phone: 702-228-1162
 Fax: 702-312-3932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SOLE TO SOUL PODIATRY LLC

NPI # 1982883294
LBN Legal business name SOLE TO SOUL PODIATRY LLC
Authorized official KELLEY WOODS - (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2007
Last updated 06/28/2018 - About 8 years ago
Identifiers
NV License # 9905
NV Medicaid 002102010
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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