Millers Shoe is a Contractor in Jackson, Michigan. Millers Shoe practices all healthcare services and medical treatments related to Contractor. The NPI Number for Millers Shoe is 1760686323. The last update date is 2022-07-21.
Millers Shoe's current location address is 103 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177831258. The mailing address for Millers Shoe is 103 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Millers Shoe |
|---|---|
| Address | 103 W Michigan Ave, Jackson, Michigan |
| Phone Number | 5177831258 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shotwell Etienne James |
| Credentials | C.PED |
| Telephone Number | 5177831258 |
NPI Number Detail
| NPI Number | 1760686323 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 103 W Michigan Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492011303 |
| Phone Number | 5177831258 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique 10-digit identification code assigned to Millers Shoe by the Centers for Medicare & Medicaid Services?
The Millers Shoe has been issued the NPI (National Provider Identifier) 1760686323, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Millers Shoe is located?
The Millers Shoe is situated at the following address: 103 W Michigan Ave, Jackson, MI, 492011303.
What is the Millers Shoe's area of specialization and corresponding taxonomy classification?
The Millers Shoe's specialty field is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their specialties.
When did the Millers Shoe receive its 1760686323?
The Millers Shoe was issued its 1760686323 on 2007-06-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Millers Shoe most recently updated or revised?
The information pertaining to Millers Shoe, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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