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MR. ANTONIO MARIO SERGIO REG SHOE-MAKER MERCH NPI 1437301074


NPI Information

NPI: 1437301074
Provider Name: MR. ANTONIO MARIO SERGIO, REG SHOE-MAKER MERCH
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
1508 MISHAWAKA AVENUE
SOUTH BEND, IN
ZIP 46615
Phone: (574) 246-9700
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MR. Antonio Mario Sergio, REG SHOE-MAKER MERCH is an orthotist in South Bend, IN. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Antonio Mario Sergio, REG SHOE-MAKER MERCH NPI is 1437301074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1508 MISHAWAKA AVENUE
SOUTH BEND, IN
ZIP 46615-426
Phone: (574) 246-9700

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.


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
1225000000XOrthotic FitterNo
2222Z00000XOrthotistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.