ACHILLES FOOT & ANKLE SURGERY PC; NPI #1619954906

Contact Information

ACHILLES FOOT & ANKLE SURGERY PC

2108 LUMBER AVE STE 2
WHEELING, WV 26003-5350

Phone: 304-243-8799
Fax: 740-633-4716
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 ACHILLES FOOT & ANKLE SURGERY PC

NPI # 1619954906

LBN Legal business name ACHILLES FOOT & ANKLE SURGERY PC

Authorized official BRUCE BLANK - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/28/2005

Last updated 04/20/2008 - About 18 years ago

Identifiers

OH	License #	36002569B
WV	License #	00239
OH	Medicaid	2006260
PA	Medicaid	01756671
WV	Medicaid	0099535001
	Other	5125771	AETNA

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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ACHILLES FOOT & ANKLE SURGERY PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ACHILLES FOOT & ANKLE SURGERY PC

Reviews for ACHILLES FOOT & ANKLE SURGERY PC