CLAWSON FOOTCARE SPECIALISTS PC NPI 1215029418

NPI Information

NPI: 1215029418
Provider Name: CLAWSON FOOTCARE SPECIALISTS PC

Other Name: BRIAN E. HOMER

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
615 W 14 MILE RD
CLAWSON, MI
ZIP 48017
Phone: (248) 288-8900
Get Directions

CLAWSON FOOTCARE SPECIALISTS PC is a podiatric clinic center in Clawson, MI. CLAWSON FOOTCARE SPECIALISTS PC NPI is 1215029418. The provider is registered as an organization entity type.
The provider Other Name Is Brian E. Homer.

The provider's business location address is:

615 W 14 MILE RD
CLAWSON, MI
ZIP 48017-901
Phone: (248) 288-8900
Fax: (248) 288-8989

The provider's authorized official is Brian E Homer .
The authorized official title is Owner and has the following contact phone number (248) 288-8900.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		5901001699	MICHIGAN	No
2	335E00000X	Prosthetic/Orthotic Supplier		5901001699	MICHIGAN	No
3	261QP1100X	Clinic/Center	Podiatric	5901001699	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0F31808	OTHER	MICHIGAN	BCBSMI
2	1283450001	MEDICARE NSC	MICHIGAN
3	480018640	OTHER	MICHIGAN	RAILROAD MEDICARE
4	0F383890	OTHER	MICHIGAN	BCBSMI DME
5	133153308	MEDICAID	MICHIGAN
6	U43805	MEDICARE UPIN	MICHIGAN
7	1283450001	OTHER	MICHIGAN	MEDICARE DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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