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SOUTHEAST FOOT & ANKLE CENTER INC NPI 1699862391


NPI Information

NPI: 1699862391
Provider Name: SOUTHEAST FOOT & ANKLE CENTER INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
7691 GLACIER HWY
JUNEAU, AK
ZIP 99801
Phone: (907) 789-5518
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SOUTHEAST FOOT & ANKLE CENTER INC is a podiatrist in Juneau, AK. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SOUTHEAST FOOT & ANKLE CENTER INC NPI is 1699862391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7691 GLACIER HWY
JUNEAU, AK
ZIP 99801
Phone: (907) 789-5518
Fax: (907) 523-6991

The provider's authorized official is Anh T Lam .
The authorized official title is Owner Podiatrist and has the following contact phone number (907) 789-5518.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 11/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist4705ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160219MEDICARE ID-TYPE UNSPECIFIEDALASKA
2PD18491MEDICAIDALASKA
35593700001MEDICARE NSCALASKA
4U84981MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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