National Provider Identifier Database

FAMILY FOOTCARE PC
Primary Podiatric Medicine


Contact Information

FAMILY FOOTCARE, PC
1183 NEW HAVEN RD
NAUGATUCK, CT06770-5033
Phone: 203-723-7884
Fax: 203-723-2946
Website:
Specialty Taxonomy Code
* Primary Podiatric Medicine 213EP1101X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for FAMILY FOOTCARE, PC

NPI Number 1699802090
Legal business name
LBN
FAMILY FOOTCARE, PC
Authorized official JAMES DEJESUS - (PODIATRIST)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 09/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 004094554
  • CT Medicaid: 004225703

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FAMILY FOOTCARE, PC

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