Wolf River Family Footcare Pllc
LBN: Wolf River Family Footcare Pllc
Wolf River Family Footcare Pllc is an health care organization with primary practice located at 7424 Us Highway 64 Suite 119, Bartlett TN 38133-3986. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Wolf River Family Footcare Pllc can be contacted via phone (901) 381-2800, or through Siciliano, Carl Joseph via phone (901) 381-2800.
Contact Information
Primary practice address
7424 Us Highway 64 Suite 119
Bartlett TN 38133-3986
Phone: (901) 381-2800
Fax: (901) 381-2677
Website:
Authorized official contact:
Name: Siciliano, Carl Joseph Doctor of Podiatric Medicine (DPM)
Phone: (901) 381-2800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DPM0000000422 | Tennessee |
Profile Details
| NPI number | 1457480683 |
|---|---|
| LBN Legal business name | Wolf River Family Footcare Pllc |
| DBA Doing business as | |
| Authorized official | Siciliano, Carl Joseph Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jun 5th, 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 | 1457480683 | NPPES |
| Tennessee | Other | DG7179 | MEDICARE ID TYPE UNSPECIFIED |
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