NPI 1104154863 · live from the CMS NPI Registry
American Foot And Ankle INC
Podiatrist in Peru, IN. National Provider Identifier 1104154863, active.
NPI record
| NPI | 1104154863 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 632 West Main Street, Peru, IN 46970 |
| Practice phone | 765-473-4220 |
| Enumerated | November 18, 2009 |
| Last updated | October 5, 2010 |
| Authorized official | Bradley Hammersley, Doctor/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 07000906A (IN) |
| Podiatrist primary | 213E00000X | 07000906A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.