THAT FOOT DOCTOR LLC NPI 1730503723

NPI Information

NPI: 1730503723
Provider Name: THAT FOOT DOCTOR, LLC

Former Legal Business Name: MICHELLE MCCARROLL, LLC

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1251 S CEDAR CREST BLVD
SUITE 301
ALLENTOWN, PA
ZIP 18103
Phone: (610) 841-3535
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THAT FOOT DOCTOR, LLC is a foot surgery podiatrist in Allentown, PA. THAT FOOT DOCTOR, LLC NPI is 1730503723. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Michelle Mccarroll, Llc.

The provider's business location address is:

1251 S CEDAR CREST BLVD
SUITE 301
ALLENTOWN, PA
ZIP 18103-205
Phone: (610) 841-3535
Fax: (610) 841-4367

The provider's authorized official is Michelle Mccarroll .
The authorized official title is Owner and has the following contact phone number (610) 841-3535.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 8/18/2020.

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
1	213ES0131X	Podiatrist	Foot Surgery	SC003851L	PENNSYLVANIA	Yes

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

NPI Synchronization or Removal

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