National Provider Identifier Database

FAMILY PODIATRY CENTERS LTD
Surgery, Foot & Ankle


Contact Information

FAMILY PODIATRY CENTERS, LTD
17495 W. CAPITAL DRIVE
BROOKFIELD, WI53045
Phone: 262-781-7117
Fax: 262-781-1976
Website:
Specialty Taxonomy Code
* Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for FAMILY PODIATRY CENTERS, LTD

NPI Number 1619087251
Legal business name
LBN
FAMILY PODIATRY CENTERS, LTD
Authorized official MERLE FLYNN - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 521
  • WI Medicaid: 43202600

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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