National Provider Identifier Database

COMPREHENSIVE FOOT ANKLE CENTER OF SOUTH JERSEY LLC
Surgery, Foot & Ankle


Contact Information

COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
277 WHITE HORSE PIKE
SUITE 101
ATCO, NJ08004
Phone: 856-768-7850
Fax: 856-768-7853
Website:
Specialty Taxonomy Code
* Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC

NPI Number 1215076237
Legal business name
LBN
COMPREHENSIVE FOOT & ANKLE CENTER OF SOUTH JERSEY LLC
Authorized official ELENA WELLENS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 12/31/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MD00274600
  • NJ Medicaid: 0051756

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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