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CROSWELL PODIATRY PLLC NPI 1407833049


NPI Information

NPI: 1407833049
Provider Name: CROSWELL PODIATRY PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2460 BURTON ST SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 774-9571
Get Directions

CROSWELL PODIATRY PLLC is a podiatrist in Grand Rapids, MI. 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. CROSWELL PODIATRY PLLC NPI is 1407833049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2460 BURTON ST SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49546-800
Phone: (616) 774-9571

The provider's authorized official is Charles R Solon .
The authorized official title is President and has the following contact phone number (616) 774-9571.

The enumeration date for this NPI number is 12/24/2005 and was last updated on 9/1/2009.


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
1213E00000XPodiatristYes

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
10N40150MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
25093230001MEDICARE NSCMICHIGAN
34376578MEDICAIDMICHIGAN
4T34015MEDICARE UPINMICHIGAN

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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