Mr. Antonio Mario Sergio SR.
Podiatrist Orthotic Fitter
1508 Mishawaka Avenue
South Bend
, Indiana 46615-1426
Mr. Antonio Mario Sergio SR.
Podiatrist Orthotic Fitter
1508 Mishawaka Avenue
South Bend
, Indiana 46615-1426
(574) 246-9700
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About
Features
Specialties
- Podiatrist
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Antonio Mario Sergio SR.
- 1508 Mishawaka Avenue
- South Bend, IN
- Zip : 46615-1426
- Phone : (574) 246-9700
Second Address
- Mr. Antonio Mario Sergio SR.
- 1508 Mishawaka Avenue
- South Bend, IN
- Zip : 46615-1426
- Phone : (574) 246-9700
Reviews
FAQs
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What type of doctor is Mr. Antonio Mario Sergio SR.
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Is Mr. Antonio Mario Sergio SR. a sole practitioner?
Is Mr. Antonio Mario Sergio SR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ||
| Y | 222Z00000X | Podiatrist | ||
| N | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1437301074 |
|---|---|
| Provider Name | Mr. Antonio Mario Sergio SR. |
| First Address | South Bend, IN 46615-1426 |
| Second Address | South Bend, IN 46615-1426 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2008 |
| Last Update Date | 15/10/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.