MCSHANE FOOT AND ANKLE CLINIC, LLC; NPI #1750579736

Contact Information

MCSHANE FOOT AND ANKLE CLINIC, LLC

1834 S STEWART AVE
SPRINGFIELD, MO 65804

Phone: 417-889-3338
Fax: 417-889-0953
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 MCSHANE FOOT AND ANKLE CLINIC, LLC

NPI Number 1750579736

LBN Legal business name MCSHANE FOOT AND ANKLE CLINIC, LLC

Authorized official PATRICK MCSHANE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2007

Last updated 06/18/2019 - About 7 years ago

Identifiers

MO	License #	000632
MO	Medicaid	500359708
MO	Other	9932	BCBS

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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MCSHANE FOOT AND ANKLE CLINIC, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MCSHANE FOOT AND ANKLE CLINIC, LLC

Reviews for MCSHANE FOOT AND ANKLE CLINIC, LLC