Ankle & Foot Clinic

LBN: Fasa Family Wellness, Pllc
Ankle & Foot Clinic is an health care organization with primary practice located at 1114 Broadway St , Longview WA 98632-3842. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Fasa Family Wellness, Pllc can be contacted via phone (360) 577-3682, or through Kreighbaum, Rosalie via phone (314) 909-1920.

Contact Information

Primary practice address
1114 Broadway St Longview WA 98632-3842
Phone: (360) 577-3682
Fax: (360) 577-1871
Website:
Map and Directions
Authorized official contact:
Name: Kreighbaum, Rosalie
Phone: (314) 909-1920

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000488 Washington
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1861495640
LBN Legal business name Fasa Family Wellness, Pllc
DBA Doing business as Ankle & Foot Clinic
Authorized official Kreighbaum, Rosalie
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Mar 8th, 2024 - about 2 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.

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