Foot Care Etc Llc
LBN: Foot Care Etc Llc
Foot Care Etc Llc is an health care organization with primary practice located at 3931 Newell Rd , Meridian MS 39301-1440. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Foot Care Etc Llc can be contacted via phone (601) 934-8217, or through Jackson, Gloria Jean via phone (601) 934-8217.
Contact Information
Primary practice address
3931 Newell Rd
Meridian MS 39301-1440
Phone: (601) 934-8217
Fax:
Website:
Authorized official contact:
Name: Jackson, Gloria Jean Nurse Practitioner (NP)
Phone: (601) 934-8217
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1407699309 |
|---|---|
| LBN Legal business name | Foot Care Etc Llc |
| DBA Doing business as | |
| Authorized official | Jackson, Gloria Jean Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2024 |
| Last updated | Jun 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407699309 | NPPES |
| Mississippi | MEDICAID | 09573377 | |
| Mississippi | Other | 297196YJ96 |
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