Head'S Village Shoe Store

LBN: Buckle My Shoe, Llc
Head'S Village Shoe Store is an health care organization with primary practice located at 4723 E Douglas Ave , Wichita KS 67218-1012. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Buckle My Shoe, Llc can be contacted via phone (316) 682-1821, or through Warren, Cynthia Lynn via phone (316) 682-1821.

Contact Information

Primary practice address
4723 E Douglas Ave Wichita KS 67218-1012
Phone: (316) 682-1821
Fax: (316) 682-1005
Website:
Map and Directions
Authorized official contact:
Name: Warren, Cynthia Lynn
Phone: (316) 682-1821

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1760631089
LBN Legal business name Buckle My Shoe, Llc
DBA Doing business as Head'S Village Shoe Store
Authorized official Warren, Cynthia Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2008
Last updated Jan 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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