MEDICARE: HELENA FAMILY PODIATRY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00198	AL

General Provider Information

NPI Number	:	1396738449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELENA FAMILY PODIATRY, PC

Provider Business Mailing Address
First Line	:	2321 HWY 150
Second Line	:	SUITE 121
City	:	HOOVER
State	:	AL
Zip	:	35244
Country	:	US
Telephone Number	:	205-271-7620
Fax Number	:	205-271-7620

Provider Business Practice Location Address
First Line	:	2321 HIGHWAY 150
Second Line	:	SUITE 121
City	:	HOOVER
State	:	AL
Zip	:	35244-3540
Country	:	US
Telephone Number	:	205-271-7620
Fax Number	:	205-271-7620

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES R OEHRLEIN
Credential	:	DPM
Telephone Number	:	205-271-7620

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	04/30/2008

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