Provider Demographics
NPI:1619146123
Name:DANVILLE FOOT CARE
Entity Type:Organization
Organization Name:DANVILLE FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-792-7348
Mailing Address - Street 1:601 S MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-3827
Mailing Address - Country:US
Mailing Address - Phone:434-792-7348
Mailing Address - Fax:434-792-7348
Practice Address - Street 1:601 S MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-3827
Practice Address - Country:US
Practice Address - Phone:434-792-7348
Practice Address - Fax:434-792-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000886213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty