ELKHART CLINIC LLC NPI 1700364916

NPI Information

NPI: 1700364916
Provider Name: ELKHART CLINIC, LLC

Doing Business As: ELKHART PODIATRY FOOT & ANKLE CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1723 E BRISTOL ST
ELKHART, IN
ZIP 46514
Phone: (574) 264-7180
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ELKHART CLINIC, LLC is a foot and ankle surgery podiatrist in Elkhart, IN. ELKHART CLINIC, LLC NPI is 1700364916. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Elkhart Podiatry Foot & Ankle Clinic.

The provider's business location address is:

1723 E BRISTOL ST
ELKHART, IN
ZIP 46514-968
Phone: (574) 264-7180
Fax: (574) 264-1875

The provider's authorized official is Kevin R Boyer .
The authorized official title is Ceo and has the following contact phone number (574) 296-3254.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 1/3/2019.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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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