Wallace Foot Center
LBN: Jeffrey B Pupp
Wallace Foot Center is an health care organization with primary practice located at 114 N Norwood St , Wallace NC 28466-2730. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Jeffrey B Pupp can be contacted via phone (910) 285-3362, or through Pupp, Jeffrey B via phone (910) 285-3362.
Contact Information
Primary practice address
114 N Norwood St
Wallace NC 28466-2730
Phone: (910) 285-3362
Fax: (910) 285-6683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 449 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 230 | North Carolina |
Profile Details
| NPI number | 1275709677 |
|---|---|
| LBN Legal business name | Jeffrey B Pupp |
| DBA Doing business as | Wallace Foot Center |
| Authorized official | Pupp, Jeffrey B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | May 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 | 1275709677 | NPPES |
| North Carolina | MEDICAID | 890152P | |
| North Carolina | Other | 2432650A | |
| North Carolina | Other | CJ7762 | |
| North Carolina | Other | 0152P | |
| North Carolina | Other | B1114 |
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