Healthcare Provider Details

I. General information

NPI: 1396335048
Provider Name (Legal Business Name): NEXT STEP FOOT AND ANKLE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 COLLEGE AVE STE B
ALTON IL
62002-5065
US

IV. Provider business mailing address

5139 MATTIS RD STE 102
SAINT LOUIS MO
63128-2250
US

V. Phone/Fax

Practice location:
  • Phone: 314-909-1920
  • Fax: 314-909-1920
Mailing address:
  • Phone: 314-909-1920
  • Fax: 314-909-1980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LISA FORCE
Title or Position: DIRECTOR OF ADMINISTRATIVE SERVICES
Credential:
Phone: 314-909-1920