FIVE STAR FEET LLC NPI 1801286778

NPI Information

NPI: 1801286778
Provider Name: FIVE STAR FEET, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2525 ROAD 218
CHEYENNE, WY
ZIP 82009
Phone: (262) 960-5101
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FIVE STAR FEET, LLC is a foot and ankle surgery podiatrist in Cheyenne, WY. FIVE STAR FEET, LLC NPI is 1801286778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2525 ROAD 218
CHEYENNE, WY
ZIP 82009-103
Phone: (262) 960-5101

The provider's authorized official is Benjamin J. Willis .
The authorized official title is Doctor Of Podiatric Medicine and has the following contact phone number (262) 960-5101.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	147	WYOMING	Yes

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

NPI Synchronization or Removal

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