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SHOE MARKET SAMPLES INC NPI 1275796435


NPI Information

NPI: 1275796435
Provider Name: SHOE MARKET SAMPLES INC

Doing Business As: THE SHOE MARKET

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

Specialization: Customized Equipment

Address:
4624 W MARKET ST
GREENSBORO, NC
ZIP 27407
Phone: (336) 632-1188
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SHOE MARKET SAMPLES INC is a customized equipment durable medical equipment medical supplies in Greensboro, NC. SHOE MARKET SAMPLES INC NPI is 1275796435. The provider is registered as an organization entity type.
The provider Is Doing Business As The Shoe Market.

The provider's business location address is:

4624 W MARKET ST
GREENSBORO, NC
ZIP 27407-232
Phone: (336) 632-1188
Fax: (336) 632-9011

The provider's authorized official is Melissa Frick .
The authorized official title is Manager and has the following contact phone number (336) 632-1188.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment332BC3200XNORTH CAROLINAYes

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
14410810001MEDICARE NSCNORTH CAROLINA

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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