Provider Demographics
NPI:1881863199
Name:SHELDON MARNE, DPM
Entity Type:Organization
Organization Name:SHELDON MARNE, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARNE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:828-696-0800
Mailing Address - Street 1:704 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3648
Mailing Address - Country:US
Mailing Address - Phone:828-696-0800
Mailing Address - Fax:828-696-2126
Practice Address - Street 1:704 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3648
Practice Address - Country:US
Practice Address - Phone:828-696-0800
Practice Address - Fax:828-696-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0812YOtherBC BS NC
NCP00478825OtherRAILROAD MEDICARE
NC890812YMedicaid
NCP00478825OtherRAILROAD MEDICARE
NCT55398Medicare UPIN
NC4928890001Medicare NSC