Jay Ann Shop Inc in Huntingdon Valley - Orthotic Fitter

Jay Ann Shop Inc - NPI 1568537769

Jay Ann Shop Inc is a Orthotic Fitter in Huntingdon Valley, Pennsylvania. Jay Ann Shop Inc practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Jay Ann Shop Inc is 1568537769. The last update date is 2018-03-17.

Jay Ann Shop Inc's current location address is 1954 County Line Rd, Huntingdon Valley, Pennsylvania. You can contact this provider via phone number 2159420120 and fax number 2159420130. The mailing address for Jay Ann Shop Inc is 1954 County Line Rd, Huntingdon Valley, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jay Ann Shop Inc
Address 1954 County Line Rd, Huntingdon Valley, Pennsylvania
Phone Number 2159420120
Fax Number 2159420130
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Friedenberg Farrell
Credentials CMF
Telephone Number 2159420120

NPI Number Detail

NPI Number 1568537769
Provider Enumeration Date 2006-11-22
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 1954 County Line Rd
City Huntingdon Valley
State Pennsylvania (PA)
Post Code 190061738
Phone Number 2159420120
Fax Number 2159420130

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Licence No 6000004961
Definition:
An individual trained in the management of fitting prefabricated orthoses.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
287288PA BLUE CROSS BLUE SHIELD
2059000 PERSONAL CHOICE KEYSTONE

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FAQs about Jay Ann Shop Inc

What is the Jay Ann Shop Inc's 1568537769?

The Jay Ann Shop Inc's NPI (National Provider Identifier) Number is 1568537769. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jay Ann Shop Inc is located?

The Jay Ann Shop Inc is situated at the following address: 1954 County Line Rd, Huntingdon Valley, PA, 190061738.

What is Jay Ann Shop Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jay Ann Shop Inc's area of specialization is Orthotic Fitter, and the corresponding taxonomy code that categorizes this field of practice is 225000000X.

When was the Jay Ann Shop Inc's 1568537769 issued?

The Jay Ann Shop Inc's 1568537769 was issued on 2006-11-22.

When was the Jay Ann Shop Inc's information last updated?

The Jay Ann Shop Inc's information was last updated on 2018-03-17.

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