1427105949 NPI number — 1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC

Table of content: (NPI 1427105949)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427105949 NPI number — 1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
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:
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:
1427105949
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
171 N MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUFFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23434-4507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-934-0768
Provider Business Mailing Address Fax Number:
757-925-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 NORTH MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUFFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-934-0768
Provider Business Practice Location Address Fax Number:
757-925-1901
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DAIRMAN
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
CRAIG
Authorized Official Title or Position:
PRESIDENT/MEDICAL DIRECTOR
Authorized Official Telephone Number:
757-934-0768

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  0103300887 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 010316057 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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