Provider Demographics
NPI:1912091976
Name:ERIC J. FOREMAN, DPM PC
Entity Type:Organization
Organization Name:ERIC J. FOREMAN, DPM PC
Other - Org Name:FOOTDOCS.COM PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-646-6882
Mailing Address - Street 1:31500 TELEGRAPH RD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4367
Mailing Address - Country:US
Mailing Address - Phone:248-646-6882
Mailing Address - Fax:248-646-7677
Practice Address - Street 1:31500 TELEGRAPH RD
Practice Address - Street 2:SUITE 235
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4367
Practice Address - Country:US
Practice Address - Phone:248-646-6882
Practice Address - Fax:248-646-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI480000122OtherRAILROAD MEDICARE
MI0F32399OtherBLUE CROSS/BLUE SHIELD
MI480000122OtherRAILROAD MEDICARE
MI0F32399OtherBLUE CROSS/BLUE SHIELD
MI0N91340Medicare ID - Type Unspecified