Provider Demographics
NPI:1447452016
Name:CHAPEL HILL FOOT AND ANKLE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:CHAPEL HILL FOOT AND ANKLE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BOCKO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:919-960-8858
Mailing Address - Street 1:1506 E FRANKLIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2825
Mailing Address - Country:US
Mailing Address - Phone:919-960-8858
Mailing Address - Fax:919-960-2882
Practice Address - Street 1:1506 E FRANKLIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2825
Practice Address - Country:US
Practice Address - Phone:919-960-8858
Practice Address - Fax:919-960-2882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC410213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2333614Medicare ID - Type UnspecifiedGROUP MEDICARE #