Superior Podiatry Associates, P.L.C.

LBN: Kendall P. Tabor, D.P.M
Superior Podiatry Associates, P.L.C. is an health care organization with primary practice located at 1414 W Fair Ave Ste 215, Marquette MI 49855-2675. 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. Kendall P. Tabor, D.P.M can be contacted via phone (906) 225-7709, or through Tabor, Kendall P via phone (906) 225-7709.

Contact Information

Primary practice address
1414 W Fair Ave Ste 215 Marquette MI 49855-2675
Phone: (906) 225-7709
Fax: (906) 225-7707
Website:
Map and Directions
Authorized official contact:
Name: Tabor, Kendall P Doctor of Podiatric Medicine (DPM)
Phone: (906) 225-7709

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001089 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5901001089 Michigan

Profile Details

NPI number 1053597914
LBN Legal business name Kendall P. Tabor, D.P.M
DBA Doing business as Superior Podiatry Associates, P.L.C.
Authorized official Tabor, Kendall P Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Dec 20th, 2011 - about 15 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 1053597914 NPPES
Michigan MEDICAID 2126020

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