FIRST STATE FOOT & ANKLE, LLC; NPI #1154344422

Contact Information

FIRST STATE FOOT & ANKLE, LLC

4512 KIRKWOOD HIGHWAY SUITE 203
WILMINGTON, DE 19808

Phone: 302-984-0257
Fax: 302-984-0258
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 FIRST STATE FOOT & ANKLE, LLC

NPI Number 1154344422

LBN Legal business name FIRST STATE FOOT & ANKLE, LLC

Authorized official HEATHER HOLVECK - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2006

Last updated 07/07/2022 - About 4 years ago

Identifiers

DE	License #	E1-0000143
DE	Medicaid	1000027213
DE	Other	7752539	AETNA GROUP #
DE	Other	2245524000	AMERIHEALTH/ KEYSTONE #
DE	Other	0001047917	DELAWARE PHYSICIANS INC.

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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FIRST STATE FOOT & ANKLE, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FIRST STATE FOOT & ANKLE, LLC

Reviews for FIRST STATE FOOT & ANKLE, LLC