Smart Foam Corset Shop

LBN: Smart Form Inc
Smart Foam Corset Shop is an health care organization with primary practice located at 100 5Th Ave Suite 804, Pittsburgh PA 15222-1821. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Smart Form Inc can be contacted via phone (412) 281-9913, or through Churma, Laurie J via phone (412) 281-9913.

Contact Information

Primary practice address
100 5Th Ave Suite 804 Pittsburgh PA 15222-1821
Phone: (412) 281-9913
Fax: (412) 281-8074
Website:
Map and Directions
Authorized official contact:
Name: Churma, Laurie J BOC CERTIFIED
Phone: (412) 281-9913

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1033102330
LBN Legal business name Smart Form Inc
DBA Doing business as Smart Foam Corset Shop
Authorized official Churma, Laurie J BOC CERTIFIED
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1033102330 NPPES
Pennsylvania MEDICAID 0016096020001

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