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Organization
FOOT HEALTH CENTER, LLC
Active
Organization
FOOT HEALTH CENTER, LLC
Active
Other names
Medicare NSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J ACKLEY DPM (PODIATRIST, OWNER)
(203) 271-0556
Entity
Organization
Contact information
Practice address
714 S MAIN ST, CHESHIRE, CT 06410-3448
(203) 271-0556
(203) 250-9951
Mailing address
714 S MAIN ST, CHESHIRE, CT 06410-3448
(203) 271-0556
(203) 250-9951
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
395
CT
332B00000X
Durable Medical Equipment & Medical Supplies
395
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000395CT01
ANTHEM BCBS
CT
01
—
0542290
CIGNA
CT
01
—
129286
FIRST CHOICE PREF ONE
CT
01
—
2721297
AETNA
CT
01
—
2V1300
HEALTHNET
CT
05
—
4068714
—
CT
01
—
480028957
MEDICARE RAILROAD
CT
01
—
787023
CONNECTICARE
CT
01
—
NHS221
OXFORD HEALTH PLAN
CT
Enumeration date
10/12/2006
Last updated
11/14/2011
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