Provider Demographics
NPI:1952310617
Name:AMALGAMATED FEET, INC
Entity Type:Organization
Organization Name:AMALGAMATED FEET, INC
Other - Org Name:FOOT SOLUTIONS OF WESTMINSTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTORMSSON
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:303-420-2077
Mailing Address - Street 1:7675 W 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1687
Mailing Address - Country:US
Mailing Address - Phone:303-420-2077
Mailing Address - Fax:303-420-3552
Practice Address - Street 1:7675 W 88TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80005-1687
Practice Address - Country:US
Practice Address - Phone:303-420-2077
Practice Address - Fax:303-420-3552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4913770001Medicare ID - Type Unspecified