Rosendahl Foot And Shoe Center

LBN: Rosendahl Foot And Shoe Center
Rosendahl Foot And Shoe Center is an health care organization with primary practice located at 125 S Curtis Rd , Boise ID 83705-1014. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Rosendahl Foot And Shoe Center can be contacted via phone (208) 343-4242, or through Shippy, Don via phone (208) 343-4242.

Contact Information

Primary practice address
125 S Curtis Rd Boise ID 83705-1014
Phone: (208) 343-4242
Fax: (208) 343-6764
Website:
Map and Directions
Authorized official contact:
Name: Shippy, Don
Phone: (208) 343-4242

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1366691818
LBN Legal business name Rosendahl Foot And Shoe Center
DBA Doing business as
Authorized official Shippy, Don
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 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 1366691818 NPPES
Idaho MEDICAID 806600000

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