Provider Demographics
NPI:1871047779
Name:HIRT FOOT AND ANKLE SPECIALISTS P C
Entity type:Organization
Organization Name:HIRT FOOT AND ANKLE SPECIALISTS P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:HIRT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:810-629-3338
Mailing Address - Street 1:7990 GRAND RIVER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7326
Mailing Address - Country:US
Mailing Address - Phone:810-227-3864
Mailing Address - Fax:
Practice Address - Street 1:14229 TORREY RD
Practice Address - Street 2:STE 1
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3308
Practice Address - Country:US
Practice Address - Phone:810-629-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment