Gollihar'S Shoe Store, Inc. in Versailles - Prosthetic/orthotic Supplier
Gollihar'S Shoe Store, Inc. - NPI 1255442331
Gollihar'S Shoe Store, Inc. is a Prosthetic/orthotic Supplier in Versailles, Missouri. Gollihar'S Shoe Store, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Gollihar'S Shoe Store, Inc. is 1255442331. The last update date is 2020-08-22.
Gollihar'S Shoe Store, Inc.'s current location address is 105 N Monroe St, Versailles, Missouri. You can contact this provider via phone number 5733784652. The mailing address for Gollihar'S Shoe Store, Inc. is 105 N Monroe St, Versailles, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gollihar'S Shoe Store, Inc. |
|---|---|
| Address | 105 N Monroe St, Versailles, Missouri |
| Phone Number | 5733784652 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Allen Larry |
| Credentials | CERTIFIED |
| Telephone Number | 5733784652 |
NPI Number Detail
| NPI Number | 1255442331 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 105 N Monroe St |
|---|---|
| City | Versailles |
| State | Missouri (MO) |
| Post Code | 650841216 |
| Phone Number | 5733784652 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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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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What is the unique 10-digit identifier code issued to Gollihar'S Shoe Store, Inc. by the Centers for Medicare & Medicaid Services?
The Gollihar'S Shoe Store, Inc. has been assigned the NPI (National Provider Identifier) 1255442331 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gollihar'S Shoe Store, Inc. located?
The Gollihar'S Shoe Store, Inc. is located at 105 N Monroe St, Versailles, MO 650841216.
What is Gollihar'S Shoe Store, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gollihar'S Shoe Store, Inc. is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
When was the Gollihar'S Shoe Store, Inc.'s 1255442331 issued?
The Gollihar'S Shoe Store, Inc.'s 1255442331 was issued on 2006-08-31.
As of what date were the details related to Gollihar'S Shoe Store, Inc. most recently updated or revised?
The information pertaining to Gollihar'S Shoe Store, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.