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Contact Information

EASTERN SHORE FAMILY FOOT CARE, LLC
6412 CHURCH HILL RD
CHESTERTOWN, MD21620-2386
 Phone: 410-778-1801
 Fax: 410-758-3249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for EASTERN SHORE FAMILY FOOT CARE, LLC

NPI # 1942327010
LBN Legal business name EASTERN SHORE FAMILY FOOT CARE, LLC
Authorized official KIMBERLI CLARKSON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 12/27/2024 - More than a year ago
Identifiers
MD License # 01102
MD Medicaid 780938700
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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