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MULBERRY FOOT CARE LLC NPI 1598900615


NPI Information

NPI: 1598900615
Provider Name: MULBERRY FOOT CARE, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1620 MULBERRY ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 239-7335
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MULBERRY FOOT CARE, LLC is a podiatrist in Montgomery, AL. 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. MULBERRY FOOT CARE, LLC NPI is 1598900615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1620 MULBERRY ST
MONTGOMERY, AL
ZIP 36106-522
Phone: (334) 239-7335

The provider's authorized official is Ace I Anglin .
The authorized official title is Owner and has the following contact phone number (334) 239-7335.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 11/18/2010.


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
1213E00000XPodiatrist183ALABAMAYes

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
16403340001MEDICARE NSCALABAMA

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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