Modern Shoe, Inc.

LBN: Modern Shoe, Inc.
Modern Shoe, Inc. is an health care organization with primary practice located at 350 W Center St , Provo UT 84601-4323. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Modern Shoe, Inc. can be contacted via phone (801) 375-2711, or through Thomas, Anthony C via phone (801) 375-2711.

Contact Information

Primary practice address
350 W Center St Provo UT 84601-4323
Phone: (801) 375-2711
Fax: (801) 371-0060
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Anthony C
Phone: (801) 375-2711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1225219587
LBN Legal business name Modern Shoe, Inc.
DBA Doing business as
Authorized official Thomas, Anthony C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated May 28th, 2010 - about 16 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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