Organization
H. FRED PREUSS, JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD FRED PREUSS JR. DPM (OWNER)
(812) 923-9837
Entity
Organization
Contact information
Practice address
3684 HIGHWAY 150, STE. 3, FLOYDS KNOBS, IN 47119-9692
(812) 923-9837
Mailing address
3684 HIGHWAY 150, STE. 3, FLOYDS KNOBS, IN 47119-9692
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00188
KY
213E00000X
Podiatrist
07000617A
IN
213EP1101X
Primary Podiatric Medicine Podiatrist
00188
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
07000617A
IN
213ER0200X
Radiology Podiatrist
00188
KY
213ER0200X
Radiology Podiatrist
07000617A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
00188
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
07000617A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
07000617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521650A
—
IN
05
—
80900277
—
KY
Enumeration date
12/12/2006
Last updated
10/11/2013
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