Provider Demographics
NPI:1669659892
Name:ALLEN C GUEHL DPM INC
Entity Type:Organization
Organization Name:ALLEN C GUEHL DPM INC
Other - Org Name:COMMUNITY FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:937-252-9653
Mailing Address - Street 1:1836 ASH MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9595
Mailing Address - Country:US
Mailing Address - Phone:937-252-9653
Mailing Address - Fax:866-304-2735
Practice Address - Street 1:380 REGENCY RIDGE DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4251
Practice Address - Country:US
Practice Address - Phone:937-252-9653
Practice Address - Fax:866-304-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-003114213ES0103X
OH36003114332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier