Provider Demographics
NPI:1144431669
Name:HPFC INC
Entity type:Organization
Organization Name:HPFC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:313-865-4400
Mailing Address - Street 1:18460 REVERE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1726
Mailing Address - Country:US
Mailing Address - Phone:313-865-4400
Mailing Address - Fax:313-865-4400
Practice Address - Street 1:18460 REVERE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1726
Practice Address - Country:US
Practice Address - Phone:313-865-4400
Practice Address - Fax:313-865-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001377213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI480H231720OtherBCBS PIN
MI131753526Medicaid
MIT34357Medicare UPIN
MI0N85590Medicare PIN
MI6217880001Medicare NSC