Dba The Fitted Foot

LBN: Professional Footwear Llc
Dba The Fitted Foot is an health care organization with primary practice located at 1239 E 4Th Street Rd , Seymour IN 47274-1839. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Professional Footwear Llc can be contacted via phone (812) 522-3800, or through Nichalson, Terry L. via phone (812) 522-3800.

Contact Information

Primary practice address
1239 E 4Th Street Rd Seymour IN 47274-1839
Phone: (812) 522-3800
Fax: (812) 522-3883
Website:
Map and Directions
Authorized official contact:
Name: Nichalson, Terry L.
Phone: (812) 522-3800

Health care specialties

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

Profile Details

NPI number 1467403055
LBN Legal business name Professional Footwear Llc
DBA Doing business as Dba The Fitted Foot
Authorized official Nichalson, Terry L.
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jul 14th, 2015 - about 11 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 1467403055 NPPES
Indiana MEDICAID 200904040 A

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