ADVANCED FOOT CARE S C; NPI #1043358013

Contact Information

ADVANCED FOOT CARE S C

1714 N 8TH ST
SHEBOYGAN, WI 53081-2734

Phone: 920-457-6104
Fax: 920-457-6105
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED FOOT CARE S C

NPI Number 1043358013

LBN Legal business name ADVANCED FOOT CARE S C

Authorized official STEVEN WOLFINGTON - (OWNER PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/02/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

WI	License #	634
WI	Medicaid	43265900

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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ADVANCED FOOT CARE S C

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ADVANCED FOOT CARE S C

Reviews for ADVANCED FOOT CARE S C