Modern Shoe Shop

LBN: Frank Deutsch Corporation
Modern Shoe Shop is an health care organization with primary practice located at 1309 N Galena Ave Suite 110, Dixon IL 61021-1060. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Frank Deutsch Corporation can be contacted via phone (815) 284-3007, or through Michel, Gary Lee via phone (815) 284-3007.

Contact Information

Primary practice address
1309 N Galena Ave Suite 110 Dixon IL 61021-1060
Phone: (815) 284-3007
Fax: (815) 284-3007
Website:
Map and Directions
Authorized official contact:
Name: Michel, Gary Lee C PED
Phone: (815) 284-3007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Illinois

Profile Details

NPI number 1811054752
LBN Legal business name Frank Deutsch Corporation
DBA Doing business as Modern Shoe Shop
Authorized official Michel, Gary Lee C PED
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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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