Shawnee Pedorthic Service, Inc. in Shawnee - Customized Equipment
Shawnee Pedorthic Service, Inc. - NPI 1922106509
Shawnee Pedorthic Service, Inc. is a Customized Equipment in Shawnee, Oklahoma. Shawnee Pedorthic Service, Inc. practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Shawnee Pedorthic Service, Inc. is 1922106509. The last update date is 2014-09-30.
Shawnee Pedorthic Service, Inc.'s current location address is 1510 N Kickapoo Ave, Shawnee, Oklahoma. You can contact this provider via phone number 4052751996 and fax number 4052750809. The mailing address for Shawnee Pedorthic Service, Inc. is 1510 N Kickapoo Ave, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shawnee Pedorthic Service, Inc. |
|---|---|
| Address | 1510 N Kickapoo Ave, Shawnee, Oklahoma |
| Phone Number | 4052751996 |
| Fax Number | 4052750809 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, SEC |
|---|---|
| Authorized Official Name | Kriwanek S Linda |
| Credentials | C.PED., L. |
| Telephone Number | 4052751996 |
NPI Number Detail
| NPI Number | 1922106509 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2014-09-30 |
Provider Mailing Address Detail
| Address | 1510 N Kickapoo Ave |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748044331 |
| Phone Number | 4052751996 |
| Fax Number | 4052750809 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 16 |
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Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100808590 A | OK | -- | |
| 731580812001 | OK | BLUECROSS BLUESHIELD PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shawnee Pedorthic Service, Inc. by the Centers for Medicare & Medicaid Services?
The Shawnee Pedorthic Service, Inc. has been assigned the NPI (National Provider Identifier) 1922106509 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shawnee Pedorthic Service, Inc. is located?
The Shawnee Pedorthic Service, Inc. is situated at the following address: 1510 N Kickapoo Ave, Shawnee, OK, 748044331.
What is Shawnee Pedorthic Service, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shawnee Pedorthic Service, Inc. is Customized Equipment, and the taxonomy code that classifies this field of practice is 332Bc3200X.
On what date did the Shawnee Pedorthic Service, Inc. receive the assignment of its 1922106509 from the Centers for Medicare & Medicaid Services?
The Shawnee Pedorthic Service, Inc. was issued its 1922106509 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Shawnee Pedorthic Service, Inc.'s information last updated?
The Shawnee Pedorthic Service, Inc.'s information was last updated on 2014-09-30.