Mobile Podiatrist, PC

Organization Primary Podiatric Medicine Podiatrist · NPI 1861692402

Mobile Podiatrist, PC is a Primary Podiatric Medicine Podiatrist in Greenwood, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2007.

Licensed in: IL, IN
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1558 Victoria Ct
Greenwood, IN 46143-7884
Phone: (317) 697-6536
Fax: (317) 859-2923

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary)	Taxonomy 213EP1101X · Licence 07001009A (IN)
Primary Podiatric Medicine Podiatrist	Taxonomy 213EP1101X · Licence 016-004848 (IL)

Record details

NPI number	1861692402
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Irene Roge — President · (317) 697-6536
NPI enumerated	July 23, 2007
Last updated in NPPES	June 3, 2011
Mailing address	1558 Victoria Ct, Greenwood, IN 46143-7884