Racebrook Shoes Llc

LBN: Racebrook Shoes Llc
Racebrook Shoes Llc is an health care organization with primary practice located at 554 Boston Post Rd Suite 341, Orange CT 06477-3341. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Racebrook Shoes Llc can be contacted via phone (203) 891-0772, or through Sicsico, Frank G via phone (203) 891-0772.

Contact Information

Primary practice address
554 Boston Post Rd Suite 341 Orange CT 06477-3341
Phone: (203) 891-0772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sicsico, Frank G
Phone: (203) 891-0772

Health care specialties

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

Profile Details

NPI number 1972698090
LBN Legal business name Racebrook Shoes Llc
DBA Doing business as
Authorized official Sicsico, Frank G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 16th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972698090 NPPES
Connecticut MEDICAID 004237154

Popular Providers