Comfortwise Footwear

LBN: John D Wise Iii
Comfortwise Footwear is an health care organization with primary practice located at 600 E Northside Dr Suite D, Clinton MS 39056-3437. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. John D Wise Iii can be contacted via phone (601) 925-9473, or through Wise, John Durr via phone (601) 925-9473.

Contact Information

Primary practice address
600 E Northside Dr Suite D Clinton MS 39056-3437
Phone: (601) 925-9473
Fax: (601) 925-9490
Website:
Map and Directions
Authorized official contact:
Name: Wise, John Durr C. PED.
Phone: (601) 925-9473

Health care specialties

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

Profile Details

NPI number 1972538460
LBN Legal business name John D Wise Iii
DBA Doing business as Comfortwise Footwear
Authorized official Wise, John Durr C. PED.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 9th, 2010 - about 14 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 1972538460 NPPES
Mississippi MEDICAID 02053764

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