LONG LAKE PODIATRY PC NPI 1326223132

NPI Information

NPI: 1326223132
Provider Name: LONG LAKE PODIATRY PC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
2914 E LONG LAKE RD
TROY, MI
ZIP 48085
Phone: (248) 528-0709
Get Directions

LONG LAKE PODIATRY PC is a customized equipment durable medical equipment medical supplies in Troy, MI. LONG LAKE PODIATRY PC NPI is 1326223132. The provider is registered as an organization entity type.

The provider's business location address is:

2914 E LONG LAKE RD
TROY, MI
ZIP 48085-780
Phone: (248) 528-0709
Fax: (248) 528-1807

The provider's authorized official is David H Berlin .
The authorized official title is Owner and has the following contact phone number (248) 528-0709.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	5901001005	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	5631470	OTHER	MICHIGAN	BCROSS PIN
2	P00245692	OTHER	MICHIGAN	RAILROAD MEDICARE PTAN
3	5498490001	MEDICARE NSC	MICHIGAN
4	89594B	OTHER	MICHIGAN	HAP
5	0005335144	OTHER	MICHIGAN	AETNA
6	NC025717	OTHER	MICHIGAN	PPOM PROVIDER CODE
7	1634294	MEDICAID	MICHIGAN
8	T34305	MEDICARE UPIN	MICHIGAN
9	0P21910	MEDICARE PIN	MICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »