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Allen Park Footcare Specialist Pllc

Podiatric Clinic/Center in Allen Park, MI · enumerated 2006 · authorized official Brian Homer, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790883056

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Registry record

Entity type Organization (Type 2)
Legal business name Allen Park Footcare Specialist Pllc
Other name <Unavail>
Practice address 19250 Ecorse Rd, Allen Park, MI, 48101
Fax (313) 294-9700
Enumeration date Sep 20, 2006
Last updated in NPPES Nov 9, 2011

Taxonomy & classification

261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities · License 5901001699 (MI) Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 5901001699 (MI) Secondary
335E00000X Prosthetic/Orthotic Supplier Suppliers · License 5901001699 (MI) Secondary

Authorized official

Name Brian Homer
Title Owner

Other identifiers

Identifier Type State Issuer
133153308 Medicaid MI -
4319060001 Other MI MEDICARE DME
0H20650 Other MI BCBSMI DME
P00102057 Other MI RAILROAD MEDICARE
0H218370 Other MI BCBSMI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Allen Park Footcare Specialist Pllc located?
The practice location on file with NPPES is in Allen Park, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-09.