Fountain Foot Clinic Pc

LBN: Fountain Foot Clinic Pc
Fountain Foot Clinic Pc is an health care organization with primary practice located at 5835 Vine St , Lincoln NE 68505-2847. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Fountain Foot Clinic Pc can be contacted via phone (402) 466-5677, or through Fountain, Dale Meier via phone (402) 466-5677.

Contact Information

Primary practice address
5835 Vine St Lincoln NE 68505-2847
Phone: (402) 466-5677
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fountain, Dale Meier Doctor of Podiatric Medicine (DPM)
Phone: (402) 466-5677

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 218 Nebraska

Profile Details

NPI number 1578765087
LBN Legal business name Fountain Foot Clinic Pc
DBA Doing business as
Authorized official Fountain, Dale Meier Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578765087 NPPES
Nebraska MEDICAID 505963785
Nebraska Other 480013496

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