John Allen Shoes

LBN: Summers And Koonce Inc
John Allen Shoes is an health care organization with primary practice located at 214 Owen Dr , Fayetteville NC 28304-3414. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Summers And Koonce Inc can be contacted via phone (910) 484-3161, or through Koonce, Larry via phone (910) 484-3161.

Contact Information

Primary practice address
214 Owen Dr Fayetteville NC 28304-3414
Phone: (910) 484-3161
Fax: (910) 485-6296
Website:
Map and Directions
Authorized official contact:
Name: Koonce, Larry CERTIFIED PEDOTHIST
Phone: (910) 484-3161

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 332BC3200X North Carolina

Profile Details

NPI number 1528116530
LBN Legal business name Summers And Koonce Inc
DBA Doing business as John Allen Shoes
Authorized official Koonce, Larry CERTIFIED PEDOTHIST
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1528116530 NPPES
North Carolina Other 045A2 BCBS OF NC

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