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VILLAGE SHOE SERVICE LLC NPI 1831334978


NPI Information

NPI: 1831334978
Provider Name: VILLAGE SHOE SERVICE, LLC

Doing Business As: VILLAGE SHOE SERVICE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4286 RAILROAD AVE
TUCKER, GA
ZIP 30084
Phone: (770) 938-7463
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VILLAGE SHOE SERVICE, LLC is a prosthetic orthotic supplier in Tucker, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. VILLAGE SHOE SERVICE, LLC NPI is 1831334978. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Shoe Service.

The provider's business location address is:

4286 RAILROAD AVE
TUCKER, GA
ZIP 30084-487
Phone: (770) 938-7463

The provider's authorized official is Larry William Schupbach .
The authorized official title is Owner and has the following contact phone number (770) 938-7463.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 9/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierCPED2232GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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