All Star Foot Care

NPI Registration Record

Provider / Organization	NPI	Date Certified
ALL STAR FOOT CARE	1053179788	2024-03-09

The organization All Star Foot Care is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1053179788. Registration indicates All Star Foot Care is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Health Service, ) (Clinic/Center Health Service, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)

Other Names:

• All Star Foot Care

Entity Type	Organization
Provider Organization	ALL STAR FOOT CARE
Other Provider Organization	ALL STAR FOOT CARE
Practice Office Address	179 MAIN ST STE 307 WATERVILLE, ME US
Practice Office Telephone	2074052510
Practice Office Fax	2074052540
Mailing Address	143 EAMES RD WINSLOW, ME 049010541 US
Business Telephone	2074783132
Authorized Official	JENNIFER GAULIN, NURSE PRACTITIO 2074783132

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