East Side Foot & Ankle Clinic Pc
LBN: East Side Foot & Ankle Clinic Pc
East Side Foot & Ankle Clinic Pc is an health care organization with primary practice located at 22301 Greater Mack Ave Suite 3, Saint Clair Shores MI 48080-2376. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
East Side Foot & Ankle Clinic Pc can be contacted via phone (586) 776-7000, or through Berlin, David via phone (586) 776-7000.
Contact Information
Primary practice address
22301 Greater Mack Ave Suite 3
Saint Clair Shores MI 48080-2376
Phone: (586) 776-7000
Fax: (586) 776-7003
Website:
Authorized official contact:
Name: Berlin, David Doctor of Podiatric Medicine (DPM)
Phone: (586) 776-7000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5901001005 | Michigan |
| Suppliers / Customized Equipment | 332BC3200X | 5901001005 | Michigan |
Profile Details
| NPI number | 1801910229 |
|---|---|
| LBN Legal business name | East Side Foot & Ankle Clinic Pc |
| DBA Doing business as | |
| Authorized official | Berlin, David Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Aug 4th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801910229 | NPPES |
| Michigan | MEDICAID | 2926711 | |
| Michigan | Other | 89594B | |
| Michigan | Other | 480014028 | |
| Michigan | Other | 0005335144 | |
| Michigan | Other | 0Q24605 |
Popular Providers
-
Larry N. Magid, Dpm Pc
27609 Little Mack Ave , Saint Clair Shores MI 48081-1833 -
S M S Do Pa
11528 Us Highway 19 , Port Richey FL 34668-1442 -
Nwia Bone, Joint & Sports Surgeons, Pc
1200 1St Ave E Ste C, Spencer IA 51301-4342 -
Orthopaedic Associates Of Central Md, Pa
3421 Benson Avenue Suite 100, Baltimore MD 21227 -
Shores Foot And Ankle Center Ltd.
22719 Garfield St , Saint Clair Shores MI 48082-1857 -
Royalton Foot & Ankle Associates Pc
4035 Hollywood Rd , Saint Joseph MI 49085-9156 -
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation
9308 Mansfield Rd Ste 100, Shreveport LA 71118-3134 -
Fasa Family Wellness, Pllc
1114 Broadway St , Longview WA 98632-3842