M&G Custom Shoes And Orthotics Llc in Antioch - Prosthetic/orthotic Supplier
M&G Custom Shoes And Orthotics Llc - NPI 1902076987
M&G Custom Shoes And Orthotics Llc is a Prosthetic/orthotic Supplier in Antioch, California. M&G Custom Shoes And Orthotics Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for M&G Custom Shoes And Orthotics Llc is 1902076987. The last update date is 2012-05-14.
M&G Custom Shoes And Orthotics Llc's current location address is 1504 A St, Antioch, California. You can contact this provider via phone number 9253051855 and fax number 9257558601. The mailing address for M&G Custom Shoes And Orthotics Llc is 1504 A St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | M&G Custom Shoes And Orthotics Llc |
|---|---|
| Address | 1504 A St, Antioch, California |
| Phone Number | 9253051855 |
| Fax Number | 9257558601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER/MA |
|---|---|
| Authorized Official Name | Banting R Gregory |
| Credentials | C.PED. |
| Telephone Number | 9253051855 |
NPI Number Detail
| NPI Number | 1902076987 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2012-05-14 |
Provider Mailing Address Detail
| Address | 1504 A St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945092333 |
| Phone Number | 9253051855 |
| Fax Number | 9257558601 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | CPED0350 |
|
Definition: 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 f |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to M&G Custom Shoes And Orthotics Llc by the Centers for Medicare & Medicaid Services?
The M&G Custom Shoes And Orthotics Llc has been issued the NPI (National Provider Identifier) 1902076987 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where M&G Custom Shoes And Orthotics Llc is physically located?
The M&G Custom Shoes And Orthotics Llc is physically situated at the following address: 1504 A St, Antioch, CA, 945092333.
What is the area of specialization for M&G Custom Shoes And Orthotics Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for M&G Custom Shoes And Orthotics Llc is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902076987 to M&G Custom Shoes And Orthotics Llc?
The Centers for Medicare & Medicaid Services originally issued the 1902076987 to M&G Custom Shoes And Orthotics Llc on 2008-03-06.
When was the M&G Custom Shoes And Orthotics Llc's information last updated?
The M&G Custom Shoes And Orthotics Llc's information was last updated on 2012-05-14.
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