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Contact Information

ACTIVE FOOT AND ANKLE CARE LLC
138 SHAWNEE ST
GREENVILLE, OH45331
 Phone: 937-459-5432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ACTIVE FOOT AND ANKLE CARE LLC

NPI Number 1023287935
LBN Legal business name ACTIVE FOOT AND ANKLE CARE LLC
Authorized official WHITNEY HOLSOPPLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2008
Last updated 12/17/2019 - About 6 years ago
Identifiers
OH License # 36003402
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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