NEAL DIABETIC FOOT AND ANKLE CENTER LLC; NPI #1154438810

Contact Information

NEAL DIABETIC FOOT AND ANKLE CENTER LLC

W2654 COUNTY ROAD KK
APPLETON, WI 54915

Phone: 920-830-2221
Fax: 920-257-2180
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 NEAL DIABETIC FOOT AND ANKLE CENTER LLC

NPI Number 1154438810

LBN Legal business name NEAL DIABETIC FOOT AND ANKLE CENTER LLC

Authorized official TONI JO NEAL - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2006

Last updated 04/25/2023 - About 3 years ago

Identifiers

WI	License #	913-025
WI	Medicaid	43241700
WI	Other	5774600001	MEDICARE DMERC
WI	Other	913-025	PODIATRIC MED & SURG LIC.

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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