Provider Demographics
NPI:1619189578
Name:FRENCH CITY FOOT CLINIC INC
Entity Type:Organization
Organization Name:FRENCH CITY FOOT CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:740-446-1860
Mailing Address - Street 1:161 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1023
Mailing Address - Country:US
Mailing Address - Phone:740-446-1860
Mailing Address - Fax:740-446-2994
Practice Address - Street 1:161 3RD AVE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1023
Practice Address - Country:US
Practice Address - Phone:740-446-1860
Practice Address - Fax:740-446-2994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH-36002518F213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0713651Medicaid
OHT80599Medicare UPIN
OH0783770001Medicare NSC
OH9256121Medicare PIN