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General NPI Number Information
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NPI Number | 1295072445
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Entity Type | Organization
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Legal Business Name | FOOT HEALTHCARE ASSOCIATES, PC
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 37595 7 MILE RD SUITE 370
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City | LIVONIA
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State | MI
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Zip | 48152-1003
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Country | US
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Telephone | 248-258-0001
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Fax | 248-258-6779
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Provider Business Mailing Address
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Address Line | 37595 7 MILE RD SUITE 370
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City | LIVONIA
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State | MI
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Zip | 48152-1003
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Country | US
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Telephone | 248-258-0001
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Fax | 248-258-6779
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. NEAL A MOZEN
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Credential | DPM
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Telephone | 248-258-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002271
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901001143
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002233
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002465
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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