Provider Demographics
NPI:1861268120
Name:SOLE FOOT AND ANKLE LLC
Entity type:Organization
Organization Name:SOLE FOOT AND ANKLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:MINHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-454-6470
Mailing Address - Street 1:2308 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2773
Mailing Address - Country:US
Mailing Address - Phone:219-900-4712
Mailing Address - Fax:
Practice Address - Street 1:2308 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2773
Practice Address - Country:US
Practice Address - Phone:219-900-4712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center