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ARKANSAS FOOT CARE CLINIC INC NPI 1568465375


NPI Information

NPI: 1568465375
Provider Name: ARKANSAS FOOT CARE CLINIC, INC

Doing Business As: AQUILAR FOOT CARE CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2400 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 890-3668
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ARKANSAS FOOT CARE CLINIC, INC is a foot and ankle surgery podiatrist in Russellville, AR. ARKANSAS FOOT CARE CLINIC, INC NPI is 1568465375. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aquilar Foot Care Clinic.

The provider's business location address is:

2400 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-531
Phone: (479) 890-3668
Fax: (479) 890-9513

The provider's authorized official is Jennifer Aquilar .
The authorized official title is Assistant Office Manager and has the following contact phone number (479) 970-2832.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 11/30/2011.


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
1213ES0103XPodiatristFoot & Ankle SurgeryAR141ARKANSASYes

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
1=========OTHERARKANSASTRICARE GROUP NUMBER
25F442MEDICARE ID-TYPE UNSPECIFIEDARKANSASGROUP NUMBER
3139915748MEDICAIDARKANSAS
4DE6137OTHERARKANSASRAILROAD MEDICARE NUMBER
53931570001MEDICARE NSCARKANSAS
65F442OTHERARKANSASBCBS GROUP NUMBER

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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