Cleary'S Shoes & Boots

LBN: Hagopian Shoes, Llc
Cleary'S Shoes & Boots is an health care organization with primary practice located at 48 E Ferguson Ave , Wood River IL 62095. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Hagopian Shoes, Llc can be contacted via phone (618) 254-0276, or through Hagopian, Andrew via phone (618) 254-0276.

Contact Information

Primary practice address
48 E Ferguson Ave Wood River IL 62095
Phone: (618) 254-0276
Fax: (618) 254-1233
Website:
Map and Directions
Authorized official contact:
Name: Hagopian, Andrew L.PED
Phone: (618) 254-0276

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 212000071 Illinois

Profile Details

NPI number 1760418099
LBN Legal business name Hagopian Shoes, Llc
DBA Doing business as Cleary'S Shoes & Boots
Authorized official Hagopian, Andrew L.PED
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Jun 22nd, 2018 - about 6 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.

Request for update

Popular Providers