INDIANA FOOT AND ANKLE SPECIALIST LLC NPI 1871192716

NPI Information

NPI: 1871192716
Provider Name: INDIANA FOOT AND ANKLE SPECIALIST LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2106 W MCGALLIARD RD
MUNCIE, IN
ZIP 47304
Phone: (765) 284-3879
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INDIANA FOOT AND ANKLE SPECIALIST LLC is a foot and ankle surgery podiatrist in Muncie, IN. INDIANA FOOT AND ANKLE SPECIALIST LLC NPI is 1871192716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2106 W MCGALLIARD RD
MUNCIE, IN
ZIP 47304-150
Phone: (765) 284-3879

The provider's authorized official is Matthew T Dewitt .
The authorized official title is Owner and has the following contact phone number (765) 729-1083.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 2/4/2021.

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			No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			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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