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SUMMIT FOOTWEAR LLC NPI 1144458597


NPI Information

NPI: 1144458597
Provider Name: SUMMIT FOOTWEAR, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7520 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 868-2918
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SUMMIT FOOTWEAR, LLC is a durable medical equipment medical supplies in Erie, PA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUMMIT FOOTWEAR, LLC NPI is 1144458597. The provider is registered as an organization entity type.

The provider's business location address is:

7520 PEACH ST
ERIE, PA
ZIP 16509-762
Phone: (814) 868-2918
Fax: (814) 866-9395

The provider's authorized official is Arthur Oligeri, Iii .
The authorized official title is Owner and has the following contact phone number (814) 868-2918.

The enumeration date for this NPI number is 6/24/2009 and was last updated on 11/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier6000007331PENNSYLVANIANo
2332B00000XDurable Medical Equipment & Medical Supplies6000007331PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16385730001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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