Champion Shoe Sales & Repair Inc

LBN: Champion Shoe Sales & Repair Inc
Champion Shoe Sales & Repair Inc is an health care organization with primary practice located at 119 N 2Nd St Rear , Lewisburg PA 17837-1564. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Champion Shoe Sales & Repair Inc can be contacted via phone (570) 523-0822, or through Fick, Gina Marie via phone (570) 523-0822.

Contact Information

Primary practice address
119 N 2Nd St Rear Lewisburg PA 17837-1564
Phone: (570) 523-0822
Fax: (570) 523-0846
Website:
Map and Directions
Authorized official contact:
Name: Fick, Gina Marie
Phone: (570) 523-0822

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6000005305 Pennsylvania

Profile Details

NPI number 1245615517
LBN Legal business name Champion Shoe Sales & Repair Inc
DBA Doing business as
Authorized official Fick, Gina Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2015
Last updated Oct 26th, 2015 - about 9 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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