Provider Demographics
NPI:1396929287
Name:SHULER FOOT CARE CENTER INC
Entity type:Organization
Organization Name:SHULER FOOT CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HALLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHULER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:570-546-3300
Mailing Address - Street 1:144 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-1117
Mailing Address - Country:US
Mailing Address - Phone:570-546-3300
Mailing Address - Fax:570-546-7518
Practice Address - Street 1:144 E WATER ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1117
Practice Address - Country:US
Practice Address - Phone:570-546-3300
Practice Address - Fax:570-546-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004255L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PW0018675090005Medicaid
PW0018675090005Medicaid
PA5306230001Medicare NSC