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THOMAS DEKORTE NPI 1548445331


NPI Information

NPI: 1548445331
Provider Name: THOMAS DEKORTE

Doing Business As: CHARLEVOIX FOOT CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1404 BRIDGE ST
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-4662
Get Directions

THOMAS DEKORTE is a podiatrist in Charlevoix, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. THOMAS DEKORTE NPI is 1548445331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charlevoix Foot Clinic.

The provider's business location address is:

1404 BRIDGE ST
CHARLEVOIX, MI
ZIP 49720-603
Phone: (231) 547-4662

The provider's authorized official is Thomas B Dekorte .
The authorized official title is President and has the following contact phone number (231) 547-4662.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.


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
1213E00000XPodiatristTD001078MICHIGANYes

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
11441583MEDICAIDMICHIGAN
24851550000OTHERMICHIGANBCBSM
3T97391MEDICARE UPINMICHIGAN
40801100001MEDICARE NSCMICHIGAN
55155000MEDICARE PINMICHIGAN

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

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