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CITY SHOE SHOP NPI 1952310385


NPI Information

NPI: 1952310385
Provider Name: CITY SHOE SHOP
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
44 SALEM ST
THOMASVILLE, NC
ZIP 27360
Phone: (336) 472-7485
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CITY SHOE SHOP is a prosthetic orthotic supplier in Thomasville, NC. 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. CITY SHOE SHOP NPI is 1952310385. The provider is registered as an organization entity type.

The provider's business location address is:

44 SALEM ST
THOMASVILLE, NC
ZIP 27360-937
Phone: (336) 472-7485
Fax: (336) 472-7494

The provider's authorized official is Kermit C Oman .
The authorized official title is Owner and has the following contact phone number (336) 472-7485.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/14/2010.


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

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
1=========OTHERNORTH CAROLINATAX ID NUMBER
24664150001MEDICARE 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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