ALL STAR FOOT CARE NPI 1053179788

NPI Information

NPI: 1053179788
Provider Name: ALL STAR FOOT CARE

Doing Business As: ALL STAR FOOT CARE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
119 MAIN ST STE 1
FAIRFIELD, ME
ZIP 04937
Phone: (207) 405-2510
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ALL STAR FOOT CARE is a health service clinic center in Fairfield, ME. ALL STAR FOOT CARE NPI is 1053179788. The provider is registered as an organization entity type.
The provider Is Doing Business As All Star Foot Care.

The provider's business location address is:

119 MAIN ST STE 1
FAIRFIELD, ME
ZIP 04937-585
Phone: (207) 405-2510
Fax: (207) 405-2540

The provider's authorized official is Jennifer Gaulin .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (207) 478-3132.

The enumeration date for this NPI number is 3/7/2024 and was last updated on 3/21/2024.

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	261QH0100X	Clinic/Center	Health Service			Yes
2	363L00000X	Nurse Practitioner				No

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: 5/5/2024

NPI Synchronization or Removal

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