Easy Stride Pain & Injury Center, Pc
LBN: Easy Stride Pain & Injury Center, Pc
Easy Stride Pain & Injury Center, Pc is an health care organization with primary practice located at 4014 Lancaster Ave # A , Philadelphia PA 19104-1712. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Easy Stride Pain & Injury Center, Pc can be contacted via phone (215) 222-2225, or through Bancroft, J Gregory via phone (215) 222-2225.
Contact Information
Primary practice address
4014 Lancaster Ave # A
Philadelphia PA 19104-1712
Phone: (215) 222-2225
Fax: (215) 222-3070
Website:
Authorized official contact:
Name: Bancroft, J Gregory Doctor of Podiatric Medicine (DPM)
Phone: (215) 222-2225
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | SC-001795-L | Pennsylvania |
Profile Details
| NPI number | 1366591596 |
|---|---|
| LBN Legal business name | Easy Stride Pain & Injury Center, Pc |
| DBA Doing business as | |
| Authorized official | Bancroft, J Gregory Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 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 | 1366591596 | NPPES |
| Pennsylvania | Other | 1073543559 | NPI INDIVIDUAL |
| Pennsylvania | MEDICAID | 0500527 | NPI INDIVIDUAL |
| Pennsylvania | Other | 1049959 | NPI INDIVIDUAL |
| Pennsylvania | Other | 31700 | NPI INDIVIDUAL |
| Pennsylvania | Other | 0050052704 | NPI INDIVIDUAL |
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