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FOOT SPECIALIST LLC NPI 1780117671


NPI Information

NPI: 1780117671
Provider Name: FOOT SPECIALIST LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1416 W CABER CT
BLOOMINGTON, IN
ZIP 47403
Phone: (518) 339-8086
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FOOT SPECIALIST LLC is a podiatrist in Bloomington, IN. 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. FOOT SPECIALIST LLC NPI is 1780117671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1416 W CABER CT
BLOOMINGTON, IN
ZIP 47403-906
Phone: (518) 339-8086

The provider's authorized official is Abel R Aguilar .
The authorized official title is Doctor and has the following contact phone number (518) 339-8086.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 12/5/2017.


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
1213E00000XPodiatrist07001035AINDIANAYes

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: 11/14/2023

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