Provider Demographics
NPI:1154367696
Name:IN STEP FOOT & ANKLE CARE PC
Entity type:Organization
Organization Name:IN STEP FOOT & ANKLE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:BERNADETTE
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-790-6060
Mailing Address - Street 1:600 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2824
Mailing Address - Country:US
Mailing Address - Phone:615-790-6060
Mailing Address - Fax:615-790-1123
Practice Address - Street 1:600 CHURCH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2824
Practice Address - Country:US
Practice Address - Phone:615-790-6060
Practice Address - Fax:615-790-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNDF7513OtherRAILROAD MEDICARE
TN3733840Medicaid
TN5929110001Medicare NSC
TN3733840Medicaid