MEDICARE: PARTNERS IN FOOT HEALTH P.C.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	CO001358	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	480009053	OTHER	MI	MEDICARE RAILROAD
7	480029417	OTHER	MI	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4034087	OTHER	MI	AETNA
2	4858251900	OTHER	MI	BCBSM
4	480H219870	OTHER	MA	BLUE CARE NETWORK
5	125159	OTHER	MA	CARE CHOICES
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	5656449	OTHER	MI	AETNA
9	000000003439	OTHER	MI	CAPE HEALTH PLAN
10	107182	OTHER	MA	CARE CHOICES
11	4858251630	OTHER	MD	BCBSM
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629168885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN FOOT HEALTH P.C.

Provider Business Mailing Address
First Line	:	3976 DIX HWY
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-3940
Country	:	US
Telephone Number	:	313-386-5750
Fax Number	:	313-386-0579

Provider Business Practice Location Address
First Line	:	3976 DIX HWY
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-3940
Country	:	US
Telephone Number	:	313-386-5750
Fax Number	:	313-386-0579

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. CHRIS MICHAEL OLENECH
Credential	:	DPM
Telephone Number	:	313-386-5750

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	04/10/2008

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Practice Location Address:

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