Organization
FOOT ONE MECHANIX
Active
Other names
Foot One
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE M HAIG C-PED (OWNER)
(317) 872-3074
Entity
Organization
Contact information
Practice address
1601 MAIN ST, ELWOOD, IN 46036-2025
(317) 872-3074
(765) 557-7223
Mailing address
1601 MAIN ST, ELWOOD, IN 46036-2025
(317) 872-3074
(765) 557-7223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200169600A
—
IN
Enumeration date
06/07/2010
Last updated
02/27/2012
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