Organization
COMPREHENSIVE PODIATRY LLC
Active
Parent organization
COMPREHENSIVE PODIATRY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE PODIATRY LLC
Authorized official
DR. JENNIFER LYNN GOODMAN DPM (OWNER)
(216) 520-0033
Entity
Organization
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 340, INDEPENDENCE, OH 44131-2358
(216) 520-0033
(216) 707-3729
Mailing address
6701 ROCKSIDE RD, SUITE 340, INDEPENDENCE, OH 44131-2358
(216) 520-0033
(216) 707-3729
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
36.003353
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO4160321
PTAN
—
Enumeration date
02/28/2008
Last updated
12/19/2012
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