Provider Demographics
NPI:1891864971
Name:LIVONIA FOOT SURGEONS PC
Entity Type:Organization
Organization Name:LIVONIA FOOT SURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-471-3312
Mailing Address - Street 1:28477 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3501
Mailing Address - Country:US
Mailing Address - Phone:248-471-3312
Mailing Address - Fax:248-471-7298
Practice Address - Street 1:28477 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3501
Practice Address - Country:US
Practice Address - Phone:248-471-3312
Practice Address - Fax:248-471-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC002229213ES0103X
MI5901002376213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1388234Medicaid
MI1388234Medicaid
MI4271940001Medicare NSC