Provider Demographics
NPI:1225513708
Name:A STEP AHEAD FOOT AND ANKLE CENTER LLC
Entity Type:Organization
Organization Name:A STEP AHEAD FOOT AND ANKLE CENTER LLC
Other - Org Name:ASA FOOT ESTES PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:970-493-4660
Mailing Address - Street 1:2001 S SHIELDS ST STE F
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1833
Mailing Address - Country:US
Mailing Address - Phone:970-493-4660
Mailing Address - Fax:
Practice Address - Street 1:555 PROSPECT AVE STE F
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-6312
Practice Address - Country:US
Practice Address - Phone:970-667-0769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty