1366844532 NPI number — FOOT HEALERS HOLDINGS - ST. LOUIS, LLC

Table of content: (NPI 1366844532)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366844532 NPI number — FOOT HEALERS HOLDINGS - ST. LOUIS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOOT HEALERS HOLDINGS - ST. LOUIS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366844532
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 28223
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63132-0223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1393 BIG BEND RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALLWIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63021-7601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-496-0022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
JENNIE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
GROUP PRACTICE MANAGER
Authorized Official Telephone Number:
636-777-4500

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  2014017376 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com