Back Office Management Services Llc | |
1043 Brooklyn Blvd, Berea, KY 40403-1090 | |
(718) 972-5000 | |
Not Available |
Full Name | Back Office Management Services Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 1043 Brooklyn Blvd, Berea, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336652585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Daryl Kinshasa Jenkins |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20090327000386 |
Provider Name | Christian E Ball |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811421076 PECOS PAC ID: 3274872049 Enrollment ID: I20190222002063 |
Provider Name | Jeffery John Vanyperen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942525738 PECOS PAC ID: 8820250954 Enrollment ID: I20230928001482 |
Mailing Address | Practice Location Address |
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Back Office Management Services Llc 2802 Avenue P, Brooklyn, NY 11229-1810 Ph: () - | Back Office Management Services Llc 1043 Brooklyn Blvd, Berea, KY 40403-1090 Ph: (718) 972-5000 |
Lexington Foot & Ankle Center Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 202 Kidd Dr, Suite 1, Berea, KY 40403 Phone: 859-278-8855 Fax: 859-278-8856 |