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FOOT PAIN CLINIC LLC NPI 1134357619


NPI Information

NPI: 1134357619
Provider Name: FOOT PAIN CLINIC, LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3851 S SHERWOOD FOREST BLVD
STE. 360
BATON ROUGE, LA
ZIP 70816
Phone: (225) 293-0068
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FOOT PAIN CLINIC, LLC is a podiatric clinic center in Baton Rouge, LA. FOOT PAIN CLINIC, LLC NPI is 1134357619. The provider is registered as an organization entity type.

The provider's business location address is:

3851 S SHERWOOD FOREST BLVD
STE. 360
BATON ROUGE, LA
ZIP 70816-361
Phone: (225) 293-0068
Fax: (225) 293-0018

The provider's authorized official is Hieu Tu Vuong .
The authorized official title is Member and has the following contact phone number (225) 293-0068.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 2/1/2010.


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
1261QP1100XClinic/CenterPodiatricPD225RLOUISIANAYes

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
11542466MEDICAIDLOUISIANA
2DP2775MEDICARE PIN
35DJ34MEDICARE PIN
45431260001MEDICARE NSC

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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