Healthcare Provider Details
I. General information
NPI: 1669525010
Provider Name (Legal Business Name): ARLINGTON FOOT & ANKLE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2007
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
941 CHATHAM LN SUITE 215
COLUMBUS OH
43221-2416
US
IV. Provider business mailing address
941 CHATHAM LN SUITE 215
COLUMBUS OH
43221-2416
US
V. Phone/Fax
- Phone: 614-457-3894
- Fax: 614-457-5698
- Phone: 614-457-3894
- Fax: 614-457-5698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBIN
D
KRAVITZ
Title or Position: PRESIDENT
Credential: DPM
Phone: 614-457-3894