Houghton Lake Foot Clinic

LBN: Timothy C St. John Ii
Houghton Lake Foot Clinic is an health care organization with primary practice located at 3179 W Houghton Lake Dr , Houghton Lake MI 48629-9256. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Timothy C St. John Ii can be contacted via phone (989) 366-8332, or through St John, Timothy via phone (989) 366-8332.

Contact Information

Primary practice address
3179 W Houghton Lake Dr Houghton Lake MI 48629-9256
Phone: (989) 366-8332
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St John, Timothy Doctor of Podiatric Medicine (DPM)
Phone: (989) 366-8332

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1780661322
LBN Legal business name Timothy C St. John Ii
DBA Doing business as Houghton Lake Foot Clinic
Authorized official St John, Timothy Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2005
Last updated Jan 4th, 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 1780661322 NPPES
Michigan MEDICAID 3119585

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