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SHOBY SHOES LLC. NPI 1053555490


NPI Information

NPI: 1053555490
Provider Name: SHOBY SHOES LLC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
11514 GOODLOE RD
SILVER SPRING, MD
ZIP 20906
Phone: (301) 706-7796
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SHOBY SHOES LLC. is a prosthetic orthotic supplier in Silver Spring, MD. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SHOBY SHOES LLC. NPI is 1053555490. The provider is registered as an organization entity type.

The provider's business location address is:

11514 GOODLOE RD
SILVER SPRING, MD
ZIP 20906-838
Phone: (301) 706-7796
Fax: (301) 942-7288

The provider's authorized official is Ingrid Ventura .
The authorized official title is Executive Director and has the following contact phone number (391) 942-7288.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.


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 SupplierYes

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

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