NPI 1407286974 · live from the CMS NPI Registry
Elite Foot And Ankle Specialists
Podiatrist, Foot & Ankle Surgery in Bennington, NE. National Provider Identifier 1407286974, active.
NPI record
| NPI | 1407286974 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 16312 Sheffield Cir, Bennington, NE 68007 |
| Practice phone | 402-690-6286 |
| Enumerated | November 20, 2013 |
| Last updated | November 20, 2013 |
| Authorized official | Reanen Michael, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 339 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.