MOBILE PODIATRIST, PC; NPI #1861692402

Contact Information

MOBILE PODIATRIST, PC

1558 VICTORIA CT
GREENWOOD, IN 46143-7884

Phone: 317-697-6536
Fax: 317-859-2923
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MOBILE PODIATRIST, PC

NPI # 1861692402

LBN Legal business name MOBILE PODIATRIST, PC

Authorized official IRENE ROGE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/23/2007

Last updated 06/03/2011 - About 15 years ago

Identifiers

IL	License #	016-004848
IN	License #	07001009A
IL	Other	DE1825	RAILROAD MEDICARE
IN	Other	DF0688	RAILROAD MEDICARE

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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MOBILE PODIATRIST, PC

Contact Information

Specialty

Primary Podiatric Medicine

NPI Profile & details for MOBILE PODIATRIST, PC

Reviews for MOBILE PODIATRIST, PC