Grand Forks Foot And Ankle Clinic, Pllc

LBN: Grand Forks Foot And Ankle Clinic, Pllc
Grand Forks Foot And Ankle Clinic, Pllc is an health care organization with primary practice located at 1451 44Th Ave S Ste 128D , Grand Forks ND 58201-3434. 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. Grand Forks Foot And Ankle Clinic, Pllc can be contacted via phone (701) 738-2770, or through Miller, John Carlyle via phone (701) 738-2770.

Contact Information

Primary practice address
1451 44Th Ave S Ste 128D Grand Forks ND 58201-3434
Phone: (701) 738-2770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, John Carlyle Doctor of Podiatric Medicine (DPM)
Phone: (701) 738-2770

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 48 North Dakota

Profile Details

NPI number 1164647822
LBN Legal business name Grand Forks Foot And Ankle Clinic, Pllc
DBA Doing business as
Authorized official Miller, John Carlyle Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164647822 NPPES
North Dakota Other 06740-001 BLURE CROSS BLUE SHIELD
North Dakota MEDICAID 13707 BLURE CROSS BLUE SHIELD

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