Cocos Shoe Store Inc

LBN: Cocos Shoe Store Inc
Cocos Shoe Store Inc is an health care organization with primary practice located at 2314 Ryan St , Lake Charles LA 70601-7320. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Cocos Shoe Store Inc can be contacted via phone (337) 439-4751, or through Coco, Robert J via phone (337) 439-4751.

Contact Information

Primary practice address
2314 Ryan St Lake Charles LA 70601-7320
Phone: (337) 439-4751
Fax: (337) 439-1395
Website:
Map and Directions
Authorized official contact:
Name: Coco, Robert J PEDORTHIST
Phone: (337) 439-4751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1063561256
LBN Legal business name Cocos Shoe Store Inc
DBA Doing business as
Authorized official Coco, Robert J PEDORTHIST
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063561256 NPPES
Louisiana MEDICAID 1392383

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