Organization
FOOT ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM HAIG (OWNER)
(765) 557-7216
Entity
Organization
Contact information
Practice address
1601 MAIN ST, ELWOOD, IN 46036-2025
(765) 557-7216
(765) 557-7223
Mailing address
1601 MAIN ST, ELWOOD, IN 46036-2025
(765) 557-7216
(765) 557-7223
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001514
MPLAN (HMO)
IN
01
—
000000111834
BCBS OF IN
IN
Enumeration date
07/27/2006
Last updated
08/22/2020
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