SHORES FOOT AND ANKLE CENTER LTD. NPI 1003124140

NPI Information

NPI: 1003124140
Provider Name: SHORES FOOT AND ANKLE CENTER LTD.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
22719 GARFIELD ST
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 294-7250
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SHORES FOOT AND ANKLE CENTER LTD. is a foot and ankle surgery podiatrist in Saint Clair Shores, MI. SHORES FOOT AND ANKLE CENTER LTD. NPI is 1003124140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22719 GARFIELD ST
SAINT CLAIR SHORES, MI
ZIP 48082-857
Phone: (586) 294-7250
Fax: (586) 294-7251

The provider's authorized official is Raymond J Farrar .
The authorized official title is President and has the following contact phone number (586) 484-7277.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 10/12/2023.

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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