Countryside Pedorthics & Cobbler Shop in Canterbury - Durable Medical Equipment & Medical Supplies
Countryside Pedorthics & Cobbler Shop - NPI 1265611891
Countryside Pedorthics & Cobbler Shop is a Durable Medical Equipment & Medical Supplies in Canterbury, Connecticut. Countryside Pedorthics & Cobbler Shop practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Countryside Pedorthics & Cobbler Shop is 1265611891. The last update date is 2021-04-22.
Countryside Pedorthics & Cobbler Shop's current location address is 95 Bingham Road, Canterbury, Connecticut. You can contact this provider via phone number 8605461099 and fax number 8605461095. The mailing address for Countryside Pedorthics & Cobbler Shop is 95 Bingham Road, Canterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Pedorthics & Cobbler Shop |
|---|---|
| Address | 95 Bingham Road, Canterbury, Connecticut |
| Phone Number | 8605461099 |
| Fax Number | 8605461095 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/CERT |
|---|---|
| Authorized Official Name | Auger G. Ronald |
| Credentials | CPED |
| Telephone Number | 8605461099 |
NPI Number Detail
| NPI Number | 1265611891 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | 95 Bingham Road |
|---|---|
| City | Canterbury |
| State | Connecticut (CT) |
| Post Code | 6331 |
| Phone Number | 8605461099 |
| Fax Number | 8605461095 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 1510 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4069993 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Countryside Pedorthics & Cobbler Shop by the Centers for Medicare & Medicaid Services (CMS)?
The Countryside Pedorthics & Cobbler Shop has been assigned the NPI (National Provider Identifier) 1265611891. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Countryside Pedorthics & Cobbler Shop is geographically located?
The Countryside Pedorthics & Cobbler Shop is physically situated at the following location: 95 Bingham Road, Canterbury, CT, 6331.
What is Countryside Pedorthics & Cobbler Shop's specialized field of practice, and what is the corresponding taxonomy classification code?
The Countryside Pedorthics & Cobbler Shop's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
On what date was the 1265611891 assigned to Countryside Pedorthics & Cobbler Shop?
The Countryside Pedorthics & Cobbler Shop was issued its 1265611891 on 2007-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Countryside Pedorthics & Cobbler Shop, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Countryside Pedorthics & Cobbler Shop, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-22.
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