Michaels Shoes
LBN: Robert A Fasbender
Michaels Shoes is an health care organization with primary practice located at 215 West 4Th Street , Carroll IA 51401-2715. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Suppliers / Prosthetic/Orthotic Supplier. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter is the primary health care specialty.
Robert A Fasbender can be contacted via phone (712) 792-3115, or through Fasbender, Robert Anthony via phone (712) 792-3115.
Contact Information
Primary practice address
215 West 4Th Street
Carroll IA 51401-2715
Phone: (712) 792-3115
Fax: (712) 792-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1013071422 |
|---|---|
| LBN Legal business name | Robert A Fasbender |
| DBA Doing business as | Michaels Shoes |
| Authorized official | Fasbender, Robert Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013071422 | NPPES |
| Iowa | MEDICAID | 0034538 |
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