Provider Demographics
NPI:1629168885
Name:PARTNERS IN FOOT HEALTH P.C.
Entity Type:Organization
Organization Name:PARTNERS IN FOOT HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OLENECH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:313-386-5750
Mailing Address - Street 1:3976 DIX HWY
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-3940
Mailing Address - Country:US
Mailing Address - Phone:313-386-5750
Mailing Address - Fax:313-386-0579
Practice Address - Street 1:3976 DIX HWY
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-3940
Practice Address - Country:US
Practice Address - Phone:313-386-5750
Practice Address - Fax:313-386-0579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICO001358213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4034087OtherAETNA
MI4858251900OtherBCBSM
MI480009053OtherMEDICARE RAILROAD
MA480H219870OtherBLUE CARE NETWORK
MA125159OtherCARE CHOICES
MI2733214Medicaid
MI480029417OtherMEDICARE RAILROAD
MI5656449OtherAETNA
MI000000003439OtherCAPE HEALTH PLAN
MA107182OtherCARE CHOICES
MD4858251630OtherBCBSM
MI3313528Medicaid
MI3313528Medicaid
MI0612730001Medicare NSC
MI000000003439OtherCAPE HEALTH PLAN
MI480029417OtherMEDICARE RAILROAD
MI4858251900OtherBCBSM
MIU06128Medicare UPIN
MI4034087OtherAETNA
MI480009053OtherMEDICARE RAILROAD