Mobile Foot Specialist, Inc

LBN: Mobile Foot Specialist, Inc
Mobile Foot Specialist, Inc is an health care organization with primary practice located at 2855 Long Lake Dr , Shreveport LA 71106. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Mobile Foot Specialist, Inc can be contacted via phone (318) 797-4169, or through Hudson, Cassell via phone (318) 797-4169.

Contact Information

Primary practice address
2855 Long Lake Dr Shreveport LA 71106
Phone: (318) 797-4169
Fax: (318) 797-4169
Website:
Map and Directions
Authorized official contact:
Name: Hudson, Cassell Doctor of Podiatric Medicine (DPM)
Phone: (318) 797-4169

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X PD149R Louisiana

Profile Details

NPI number 1619164894
LBN Legal business name Mobile Foot Specialist, Inc
DBA Doing business as
Authorized official Hudson, Cassell Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Jun 11th, 2010 - about 16 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 1619164894 NPPES
Louisiana MEDICAID 1993085
Louisiana Other 1982698023

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