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SHOE MATE NPI 1902159858


NPI Information

NPI: 1902159858
Provider Name: SHOE MATE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1011 88TH ST
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 205-1811
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SHOE MATE is a prosthetic orthotic supplier in West Des Moines, IA. 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. SHOE MATE NPI is 1902159858. The provider is registered as an organization entity type.

The provider's business location address is:

1011 88TH ST
WEST DES MOINES, IA
ZIP 50266-857
Phone: (515) 205-1811
Fax: (515) 453-8429

The provider's authorized official is Hal Mead .
The authorized official title is Owner and has the following contact phone number (515) 205-1811.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 10/29/2018.


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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