Provider Demographics
NPI:1073200259
Name:SAVE YOUR SOLES MG LLC
Entity Type:Organization
Organization Name:SAVE YOUR SOLES MG LLC
Other - Org Name:SAVE YOUR SOLES PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIAGES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:551-655-7440
Mailing Address - Street 1:1463 HUNTINGDON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2103
Mailing Address - Country:US
Mailing Address - Phone:551-655-7440
Mailing Address - Fax:
Practice Address - Street 1:1375 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3411
Practice Address - Country:US
Practice Address - Phone:551-655-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty