Stacey'S Bra And Lingerie Shop, Inc in Urbandale - Prosthetic/orthotic Supplier

Stacey'S Bra And Lingerie Shop, Inc - NPI 1720159452

Stacey'S Bra And Lingerie Shop, Inc is a Prosthetic/orthotic Supplier in Urbandale, Iowa. Stacey'S Bra And Lingerie Shop, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Stacey'S Bra And Lingerie Shop, Inc is 1720159452. The last update date is 2022-06-09.

Stacey'S Bra And Lingerie Shop, Inc's current location address is 10453 Hickman Road, Urbandale, Iowa. You can contact this provider via phone number 5152701399. The mailing address for Stacey'S Bra And Lingerie Shop, Inc is 10453 Hickman Road, Urbandale, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stacey'S Bra And Lingerie Shop, Inc
Address 10453 Hickman Road, Urbandale, Iowa
Phone Number 5152701399
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Burns-Fox Ann Stacey
Credentials CFM
Telephone Number 5152701399

NPI Number Detail

NPI Number 1720159452
Provider Enumeration Date 2006-11-13
Last Updated Date 2022-06-09

Provider Mailing Address Detail

Address 10453 Hickman Road
City Urbandale
State Iowa (IA)
Post Code 50322
Phone Number 5152701399
Fax Number

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102509 IA --

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FAQs about Stacey'S Bra And Lingerie Shop, Inc

What is the unique 10-digit identifier code issued to Stacey'S Bra And Lingerie Shop, Inc by the Centers for Medicare & Medicaid Services?

The Stacey'S Bra And Lingerie Shop, Inc has been assigned the NPI (National Provider Identifier) 1720159452 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Stacey'S Bra And Lingerie Shop, Inc is geographically located?

The Stacey'S Bra And Lingerie Shop, Inc is physically situated at the following location: 10453 Hickman Road, Urbandale, IA, 50322.

What is Stacey'S Bra And Lingerie Shop, Inc's area of expertise and its corresponding taxonomy classification?

The Stacey'S Bra And Lingerie Shop, Inc's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Stacey'S Bra And Lingerie Shop, Inc receive its 1720159452 assignment from the Centers for Medicare & Medicaid Services?

The Stacey'S Bra And Lingerie Shop, Inc was assigned its 1720159452 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Stacey'S Bra And Lingerie Shop, Inc most recently updated or revised?

The details related to Stacey'S Bra And Lingerie Shop, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-09.

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