Peterson Shoe Inc in Anoka - Prosthetic/orthotic Supplier

Peterson Shoe Inc - NPI 1639235088

Peterson Shoe Inc is a Prosthetic/orthotic Supplier in Anoka, Minnesota. Peterson Shoe Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Peterson Shoe Inc is 1639235088. The last update date is 2008-04-08.

Peterson Shoe Inc's current location address is 209 E Main St, Anoka, Minnesota. You can contact this provider via phone number 7634213433 and fax number 7634210054. The mailing address for Peterson Shoe Inc is 209 E Main St, Anoka, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peterson Shoe Inc
Address 209 E Main St, Anoka, Minnesota
Phone Number 7634213433
Fax Number 7634210054
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Purtle-Smith Marie Michelle
Telephone Number 7634213433

NPI Number Detail

NPI Number 1639235088
Provider Enumeration Date 2006-12-29
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 209 E Main St
City Anoka
State Minnesota (MN)
Post Code 553033144
Phone Number 7634213433
Fax Number 7634210054

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

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FAQs about Peterson Shoe Inc

What is the unique 10-digit identifier code assigned to Peterson Shoe Inc by the Centers for Medicare & Medicaid Services?

The Peterson Shoe Inc has been issued the NPI (National Provider Identifier) 1639235088 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Peterson Shoe Inc's facilities are geographically located?

The facilities of Peterson Shoe Inc are physically situated at the following location: 209 E Main St, Anoka, MN, 553033144.

What is Peterson Shoe Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Peterson Shoe Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.

On what date did the Peterson Shoe Inc receive the assignment of its 1639235088 from the Centers for Medicare & Medicaid Services?

The Peterson Shoe Inc was issued its 1639235088 by the Centers for Medicare & Medicaid Services on 2006-12-29.

When was the information related to Peterson Shoe Inc most recently updated or refreshed?

The details pertaining to the Peterson Shoe Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-08.

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