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THE FOOT CLINIC OF WEST LOUISIANA NPI 1861487290


NPI Information

NPI: 1861487290
Provider Name: THE FOOT CLINIC OF WEST LOUISIANA
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1108 PORT ARTHUR TER
LEESVILLE, LA
ZIP 71446
Phone: (337) 239-1061
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THE FOOT CLINIC OF WEST LOUISIANA is a foot surgery podiatrist in Leesville, LA. THE FOOT CLINIC OF WEST LOUISIANA NPI is 1861487290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 PORT ARTHUR TER
LEESVILLE, LA
ZIP 71446-600
Phone: (337) 239-1061
Fax: (337) 239-1062

The provider's authorized official is Jimmie B Harvey .
The authorized official title is Owner and has the following contact phone number (337) 239-1061.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 8/9/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15CA09MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAGROUP NUMBER
21442348MEDICAIDLOUISIANA

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: 5/5/2024

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