Provider Demographics
NPI:1902276389
Name:DEHEER HOLDINGS LLC
Entity Type:Organization
Organization Name:DEHEER HOLDINGS LLC
Other - Org Name:INDIANA FOOT & ANKLE SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-346-7722
Mailing Address - Street 1:PO BOX 9879
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77387-6879
Mailing Address - Country:US
Mailing Address - Phone:800-785-8765
Mailing Address - Fax:281-820-1901
Practice Address - Street 1:1159 W JEFFERSON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2794
Practice Address - Country:US
Practice Address - Phone:317-346-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty