Provider Demographics
NPI:1609085349
Name:MILNE PODIATRY PLC
Entity Type:Organization
Organization Name:MILNE PODIATRY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-794-0027
Mailing Address - Street 1:1520 HUGUENOT RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2477
Mailing Address - Country:US
Mailing Address - Phone:804-792-0027
Mailing Address - Fax:804-794-0067
Practice Address - Street 1:1520 HUGUENOT RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2477
Practice Address - Country:US
Practice Address - Phone:804-792-0027
Practice Address - Fax:804-794-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADA6540OtherRAILROAD MEDICARE GROUP
VAC08961OtherMEDICARE GROUP
VADA6540OtherRAILROAD MEDICARE GROUP
VA103599Medicare UPIN
VAC08961OtherMEDICARE GROUP
VAY02897Medicare UPIN
VA2092110Medicare UPIN
VAP00066560Medicare UPIN
VA00V805M61Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER