Organization Name: | THE SHOE FITS AT 1 FOOT 2 FOOT LLC |
NPI Number: | 1720174675 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW CRAIG DAIRMAN (PRESIDENT/MEDICAL DIRECTOR) |
Mailing Address: | 173 N Main St Suffolk |
State: | VA US |
Postal Code: | 234344507 |
Phone Number: | 7579340768 |
Fax Number: | 7579251901 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 09/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |