| Broadway Foot Clinic Corporation | |
|
3290 Grant St, Suite 108, Gary, IN 46408-1015 | |
| (219) 884-7880 | |
| (219) 884-7880 |
| Full Name | Broadway Foot Clinic Corporation |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3290 Grant St, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073510244 | NPI | - | NPPES |
| 10058560 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 07000445A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Foot Clinic Corporation 3290 Grant St, Suite 108, Gary, IN 46408-1015 Ph: (219) 884-7880 | Broadway Foot Clinic Corporation 3290 Grant St, Suite 108, Gary, IN 46408-1015 Ph: (219) 884-7880 |
Lashawn Freeman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St, Suite 4, Gary, IN 46404 Phone: 219-882-2000 Fax: 219-881-2836 | |
Lashawn D Freeman Dpm Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 650 Grant St, #4, Gary, IN 46404 Phone: 219-882-2000 Fax: 219-882-2044 |