Sonny Sanders, C.Ped

LBN: Jaffe Shoe Stores, Inc.
Sonny Sanders, C.Ped is an health care organization with primary practice located at 5726 Marlin Rd Suite 512, Chattanooga TN 37411-4008. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Jaffe Shoe Stores, Inc. can be contacted via phone (423) 892-3366, or through Sanders, Sonny via phone (423) 892-3366.

Contact Information

Primary practice address
5726 Marlin Rd Suite 512 Chattanooga TN 37411-4008
Phone: (423) 892-3366
Fax: (423) 892-3337
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Sonny C.PED
Phone: (423) 892-3366

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X NO STATE LICENSURE

Profile Details

NPI number 1013900729
LBN Legal business name Jaffe Shoe Stores, Inc.
DBA Doing business as Sonny Sanders, C.Ped
Authorized official Sanders, Sonny C.PED
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1013900729 NPPES
Tennessee MEDICAID 1454284
Tennessee Other 4043199

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