The Shoe Smith Llc

LBN: The Shoe Smith Llc
The Shoe Smith Llc is an health care organization with primary practice located at 503 Main St , Willimantic CT 06226-3143. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. The Shoe Smith Llc can be contacted via phone (860) 423-8873, or through Walker, John D via phone (860) 423-8873.

Contact Information

Primary practice address
503 Main St Willimantic CT 06226-3143
Phone: (860) 423-8873
Fax: (860) 456-0373
Website:
Map and Directions
Authorized official contact:
Name: Walker, John D C PED
Phone: (860) 423-8873

Health care specialties

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

Profile Details

NPI number 1598936536
LBN Legal business name The Shoe Smith Llc
DBA Doing business as
Authorized official Walker, John D C PED
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated May 16th, 2014 - about 10 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 1598936536 NPPES
Connecticut MEDICAID 004201381

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