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DIABETIC SHOE GIRL LLC NPI 1396528428


NPI Information

NPI: 1396528428
Provider Name: DIABETIC SHOE GIRL LLC
Classification: Pedorthist - 224L00000X
Entity Type: Organization
Address:
2625 STRINGTOWN RD STE A
EVANSVILLE, IN
ZIP 47711
Phone: (972) 703-7193
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DIABETIC SHOE GIRL LLC is a pedorthist in Evansville, IN. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. DIABETIC SHOE GIRL LLC NPI is 1396528428. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 STRINGTOWN RD STE A
EVANSVILLE, IN
ZIP 47711-300
Phone: (972) 703-7193

The provider's authorized official is Stephanie Santararsiero .
The authorized official title is Owner and has the following contact phone number (972) 703-7193.

The enumeration date for this NPI number is 8/14/2023 and was last updated on 8/14/2023.


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
1224L00000XPedorthistYes

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: 5/5/2024

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