<Unavail>
LBN: Mypafootdoctor
<Unavail> is an health care organization with primary practice located at 1055 Baltimore St Ste 1 , Hanover PA 17331-4400. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Podiatric. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Mypafootdoctor can be contacted via phone (717) 524-1034, or through Maxka, Jim via phone (717) 524-1034.
Contact Information
Primary practice address
1055 Baltimore St Ste 1
Hanover PA 17331-4400
Phone: (717) 524-1034
Fax: (833) 524-1034
Website:
Authorized official contact:
Name: Maxka, Jim Doctor of Podiatric Medicine (DPM)
Phone: (717) 524-1034
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC006213 | Pennsylvania |
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X |
Profile Details
| NPI number | 1538514492 |
|---|---|
| LBN Legal business name | Mypafootdoctor |
| DBA Doing business as | <Unavail> |
| Authorized official | Maxka, Jim Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2016 |
| Last updated | Apr 30th, 2023 - about 3 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 | 1538514492 | NPPES |
| Pennsylvania | MEDICAID | 103298961 |
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