| Sole Source Podiatry | |
|
128 W 5th St, Peru, IN 46970-2139 | |
| (765) 244-7440 | |
| Not Available |
| Full Name | Sole Source Podiatry |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 128 W 5th St, Peru, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174020549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 07000906A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sole Source Podiatry 128 W 5th St, Peru, IN 46970-2139 Ph: (765) 244-7440 | Sole Source Podiatry 128 W 5th St, Peru, IN 46970-2139 Ph: (765) 244-7440 |
American Foot And Ankle Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 632 West Main Street, Peru, IN 46970 Phone: 765-473-4220 Fax: 765-473-4223 | |
Bradley R Hammersley, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 632 W Main St, Peru, IN 46970 Phone: 765-473-4220 Fax: 765-473-4223 | |
Dr. John S Miles, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 685 E Main St, Peru, IN 46970 Phone: 765-472-4930 Fax: 765-472-4330 | |
Edward A Lebrija, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 285 W 12th St Ste 112, Peru, IN 46970 Phone: 765-475-2388 Fax: 260-479-2928 | |
American Foot And Ankle Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 632 W Main St, Peru, IN 46970 Phone: 765-473-4220 Fax: 765-473-4223 |