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DELTA FOOT CARE P.C. NPI 1568501062


NPI Information

NPI: 1568501062
Provider Name: DELTA FOOT CARE, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3802 W KALAMAZOO ST
LANSING, MI
ZIP 48917
Phone: (517) 485-7300
Get Directions

DELTA FOOT CARE, P.C. is a podiatrist in Lansing, 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. DELTA FOOT CARE, P.C. NPI is 1568501062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3802 W KALAMAZOO ST
LANSING, MI
ZIP 48917-653
Phone: (517) 485-7300
Fax: (517) 485-7301

The provider's authorized official is Brian Spencer Goosen .
The authorized official title is Owner and has the following contact phone number (517) 485-7300.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 4/21/2009.


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
1213E00000XPodiatristBG001798MICHIGANYes

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
1P00920001MEDICARE PINMICHIGAN
217738OTHERMICHIGANPRIORITY HEALTH
3201749OTHERMICHIGANMEDICAID MCLAREN
4480B310270OTHERMICHIGANBLUE CARE NETWORK
5480B310270OTHERMICHIGANBCN ADVANTAGE
60P00920OTHERMICHIGANMEDICARE SECONDARY PAYOR
70171260001MEDICARE NSCMICHIGAN

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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