Gollihar'S Shoe Store, Inc.

LBN: Gollihar'S Shoe Store, Inc.
Gollihar'S Shoe Store, Inc. is an health care organization with primary practice located at 105 N Monroe St , Versailles MO 65084-1216. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Gollihar'S Shoe Store, Inc. can be contacted via phone (573) 378-4652, or through Clark, Larry Allen via phone (573) 378-4652.

Contact Information

Primary practice address
105 N Monroe St Versailles MO 65084-1216
Phone: (573) 378-4652
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Larry Allen CERTIFIED PEDORTHIST
Phone: (573) 378-4652

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1255442331
LBN Legal business name Gollihar'S Shoe Store, Inc.
DBA Doing business as
Authorized official Clark, Larry Allen CERTIFIED PEDORTHIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
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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