Organization Name: | SENECA FAMILY FOOT CARE, PLLC |
NPI Number: | 1245500040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD MARSHALL ERSKINE (OWNER) |
Mailing Address: | 336 Seneca Trail Ronceverte |
State: | WV US |
Postal Code: | 24970 |
Phone Number: | 3046450200 |
Fax Number: | 3046450240 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 00350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |