Healthcare Provider Details
I. General information
NPI: 1376758573
Provider Name (Legal Business Name): ABOUT FEET, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2007
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4788 FINLAY ST SUITE 1
RICHMOND VA
23231-2754
US
IV. Provider business mailing address
4788 FINLAY ST SUITE 1
RICHMOND VA
23231-2754
US
V. Phone/Fax
- Phone: 804-222-4949
- Fax: 804-226-0678
- Phone: 804-222-4949
- Fax: 804-226-0678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 0103000393 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 0103000393 |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
BRIAN
RICHARD
WRIGHT
Title or Position: PRESIDENT
Credential: DPM
Phone: 804-222-4949