BAY AREA FOOT CLINIC; NPI #1659551083

Contact Information

BAY AREA FOOT CLINIC

2295 W MASON ST
GREEN BAY, WI 54303-4706

Phone: 920-498-2226
Fax:
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 BAY AREA FOOT CLINIC

NPI # 1659551083

LBN Legal business name BAY AREA FOOT CLINIC

Authorized official THOMAS KOMP - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/14/2007

Last updated 07/17/2008 - About 18 years ago

Identifiers

Other

41732500

MEDICAID DME

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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BAY AREA FOOT CLINIC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BAY AREA FOOT CLINIC

Reviews for BAY AREA FOOT CLINIC