Organization
FOOTWORKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF R DUBINSKY CERTIFIED PEDORTHIST (PRESIDENT)
(816) 942-3668
Entity
Organization
Contact information
Practice address
1152 W 103RD ST, KANSAS CITY, MO 64114-4511
(816) 942-3668
(816) 942-9402
Mailing address
1152 W 103RD ST, KANSAS CITY, MO 64114-4511
(816) 942-3668
(816) 942-9402
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23916010
BLUE CROSS BLUE SHIELD MO
MO
01
—
707960
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
06/06/2007
Last updated
06/21/2010
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