EVANSTON FAMILY FOOT CARE; NPI #1700060902

Contact Information

EVANSTON FAMILY FOOT CARE

1565 HIGHWAY 150 SOUTH
SUITE C
EVANSTON, WY 82930-5348

Phone: 307-789-8997
Fax: 307-789-2624
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 EVANSTON FAMILY FOOT CARE

NPI # 1700060902

LBN Legal business name EVANSTON FAMILY FOOT CARE

Authorized official JASON LEVITRE - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/24/2007

Last updated 01/06/2008 - About 18 years ago

Identifiers

WY	License #	127
WY	Medicaid	1217844 00
WY	Other	DD8254	RAILROAD MEDICARE

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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EVANSTON FAMILY FOOT CARE

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for EVANSTON FAMILY FOOT CARE

Reviews for EVANSTON FAMILY FOOT CARE