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Shoes Etc Llc
Prosthetic/Orthotic Supplier in Irmo, South Carolina
NPI 1144205766

Shoes Etc Llc is a Prosthetic/Orthotic Supplier based in Irmo, SC. Shoes Etc Llc practices in Irmo, SC. The NPI Number for Shoes Etc Llc is 1144205766 and holds a License No. 032383439 (South Carolina).

The current practice location address for Shoes Etc Llc is 7715 St Andrews Rd Ste D, Irmo, SC and can be reached out via phone at 803-781-5757 and via fax at 866-843-2602. You can also correspond with Shoes Etc Llc through the mailing address at PO BOX 2652, IRMO, SC - 29063-4003 (mailing address contact number: 803-781-5757).

Location: 7715 St Andrews Rd Ste D, Irmo, SC, 29063-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144205766
Provider Name
Shoes Etc Llc
Credential
Provider Entity Type
Organization
Address
7715 St Andrews Rd Ste D, Irmo, SC, 29063-4003
Phone Number
803-781-5757
Fax Number
866-843-2602
Provider Enumeration Date
12/07/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE2667 05 SC
institution
Provider Business Practice Location Address Details
Address
7715 St Andrews Rd Ste D
City
Irmo
State
South Carolina
Zip
29063-2835
Phone Number
803-781-5757
Fax Number
866-843-2602
person
Provider Business Mailing Address Details
Address
7715 St Andrews Rd Ste D
City
Irmo
State
South Carolina
Zip
29063-2835
Phone Number
803-781-5757
Fax Number
866-843-2602
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
10400 BCP ()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
032383439 (South Carolina)
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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