SUMMERS AND KOONCE INC NPI 1528116530

NPI Information

NPI: 1528116530
Provider Name: SUMMERS AND KOONCE INC

Doing Business As: JOHN ALLEN SHOES

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
214 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 484-3161
Get Directions

SUMMERS AND KOONCE INC is a customized equipment durable medical equipment medical supplies in Fayetteville, NC. SUMMERS AND KOONCE INC NPI is 1528116530. The provider is registered as an organization entity type.
The provider Is Doing Business As John Allen Shoes.

The provider's business location address is:

214 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-414
Phone: (910) 484-3161
Fax: (910) 485-6296

The provider's authorized official is Larry Koonce .
The authorized official title is Owner and has the following contact phone number (910) 484-3161.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	332BC3200X	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	045A2	OTHER	NORTH CAROLINA	BCBS OF NC

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: 4/28/2024

NPI Synchronization or Removal

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