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FIVE LAKES FAMILY FOOT CARE PLLC NPI 1952440273


NPI Information

NPI: 1952440273
Provider Name: FIVE LAKES FAMILY FOOT CARE PLLC

Doing Business As: FIVE LAKES IN HOME FOOT CARE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2109 CARANOME DR
SWARTZ CREEK, MI
ZIP 48473
Phone: (810) 630-8141
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FIVE LAKES FAMILY FOOT CARE PLLC is a podiatrist in Swartz Creek, 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. FIVE LAKES FAMILY FOOT CARE PLLC NPI is 1952440273. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Five Lakes In Home Foot Care.

The provider's business location address is:

2109 CARANOME DR
SWARTZ CREEK, MI
ZIP 48473-719
Phone: (810) 630-8141
Fax: (810) 635-9357

The provider's authorized official is Charlanne Elise Bratton .
The authorized official title is Owner and has the following contact phone number (810) 630-8141.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 3/18/2008.


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
1213E00000XPodiatrist5901002061MICHIGANYes

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
1U85983MEDICARE UPINMICHIGAN
20N51140MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
34412852MEDICAIDMICHIGAN
45174610001MEDICARE NSCMICHIGAN

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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