National Provider Identifier Database

NORTHLAND FOOT ANKLE SPECIALISTS
Customized Equipment


Contact Information

NORTHLAND FOOT & ANKLE SPECIALISTS
2221 FORD PARKWAY
SUITE 350
SAINT PAUL, MN55116
Phone: 651-698-8879
Fax: 651-698-7243
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Podiatrist 213E00000X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for NORTHLAND FOOT & ANKLE SPECIALISTS

NPI Number 1750609772
Legal business name
LBN
NORTHLAND FOOT & ANKLE SPECIALISTS
Authorized official SARAH WHITTAKER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/14/2010
Last updated 05/29/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 797
  • MN Medicaid: 1760618011

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for NORTHLAND FOOT & ANKLE SPECIALISTS

There are currently no reviews for NORTHLAND FOOT & ANKLE SPECIALISTS


NPIdb - Home
v2.201