Healthcare Provider Details
I. General information
NPI: 1023040896
Provider Name (Legal Business Name): ASSOCIATES IN PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3000 BROWNSVILLE RD
PITTSBURGH PA
15227-2469
US
IV. Provider business mailing address
3000 BROWNSVILLE ROAD
PITTSBURGH PA
15227
US
V. Phone/Fax
- Phone: 412-881-5580
- Fax: 412-881-1026
- Phone: 412-881-5580
- Fax: 412-881-1026
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | SC002319L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | SC002770L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | SC002880L |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: MRS.
LYNNE
HAUBELT
Title or Position: PARTNER
Credential: DPM
Phone: 412-881-5580