Evanston Family Foot Care
LBN: Evanston Family Foot Care
Evanston Family Foot Care is an health care organization with primary practice located at 1565 Highway 150 South Suite C, Evanston WY 82930-5348. 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.
Evanston Family Foot Care can be contacted via phone (307) 789-8997, or through Levitre, Jason Cannon via phone (307) 789-8997.
Contact Information
Primary practice address
1565 Highway 150 South Suite C
Evanston WY 82930-5348
Phone: (307) 789-8997
Fax: (307) 789-2624
Website:
Authorized official contact:
Name: Levitre, Jason Cannon Doctor of Podiatric Medicine (DPM)
Phone: (307) 789-8997
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 127 | Wyoming |
Profile Details
| NPI number | 1700060902 |
|---|---|
| LBN Legal business name | Evanston Family Foot Care |
| DBA Doing business as | |
| Authorized official | Levitre, Jason Cannon Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Jan 6th, 2008 - about 18 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 | 1700060902 | NPPES |
| Wyoming | Other | DD8254 | RAILROAD MEDICARE |
| Wyoming | MEDICAID | 1217844 00 | RAILROAD MEDICARE |
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