Provider Demographics
NPI:1306181151
Name:FORD FOOT INSTITUTE
Entity Type:Organization
Organization Name:FORD FOOT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARABI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-758-8809
Mailing Address - Street 1:1251 MCFARLAND BLVD NE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2205
Mailing Address - Country:US
Mailing Address - Phone:205-464-9619
Mailing Address - Fax:205-464-9646
Practice Address - Street 1:1251 MCFARLAND BLVD NE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2205
Practice Address - Country:US
Practice Address - Phone:205-464-9619
Practice Address - Fax:205-464-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL307213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty