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CAPITAL CITY FOOT & ANKLE CENTER LLC NPI 1295085504


NPI Information

NPI: 1295085504
Provider Name: CAPITAL CITY FOOT & ANKLE CENTER LLC

Doing Business As: CAPITAL CITY FOOT AND ANKLE

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
219 E MAIN ST STE 121
MECHANICSBURG, PA
ZIP 17055
Phone: (171) 769-7277
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CAPITAL CITY FOOT & ANKLE CENTER LLC is a podiatric clinic center in Mechanicsburg, PA. CAPITAL CITY FOOT & ANKLE CENTER LLC NPI is 1295085504. The provider is registered as an organization entity type.
The provider Is Doing Business As Capital City Foot And Ankle.

The provider's business location address is:

219 E MAIN ST STE 121
MECHANICSBURG, PA
ZIP 17055-541
Phone: (171) 769-7277
Fax: (717) 697-2884

The provider's authorized official is Ijaz Alam Zia .
The authorized official title is Owner and has the following contact phone number (171) 769-7272.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 10/27/2021.


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
1261QP1100XClinic/CenterPodiatricSC006155PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1260483OTHERPENNSYLVANIAMEDICARE PTAN

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
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