Footstar Pedorthic Center LLC
Prosthetic/Orthotic Supplier in Milford, Connecticut
1295053668- Practice location
- 74 Broad St, Milford, CT 06460-3353
- Phone
- 800-318-0007
- Fax
- —
- Last updated
- May 11, 2010
Footstar Pedorthic Center LLC is a healthcare organization based in Milford, CT. Footstar Pedorthic Center LLC practices in Milford, CT. The NPI Number for Footstar Pedorthic Center LLC is 1295053668 and holds a License No. 2391 (CT). The current practice location address for Footstar Pedorthic Center LLC is 74 Broad St, Milford, CT 06460-3353 and can be reached out via phone at 800-318-0007.
Provider Profile Details
- NPI Number
- 1295053668
- Provider Name
- Footstar Pedorthic Center LLC
- Provider Entity Type
- Organization
- Address
- 74 Broad St, Milford, CT 06460-3353
- Phone Number
- 800-318-0007
- Primary Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X
- Organization Subpart
- No
- Authorized Official
- Matthew Arcivolo · Owner · 800-318-0007
- Provider Enumeration Date
- May 11, 2010
- Last Update Date
- May 11, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Broad St
Milford, CT 06460-3353 - City
- Milford
- State
- Connecticut
- Zip
- 06460-3353
- Phone Number
- 800-318-0007
Provider Business Mailing Address Details
- Address
- 74 Broad St
Milford, CT 06460-3353 - City
- Milford
- State
- CT
- Zip
- 06460-3353
- Phone Number
- 800-318-0007
License Information
- License Number
- 2391
- License State
- CT
- Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Footstar Pedorthic Center LLC?
The NPI number of Footstar Pedorthic Center LLC is 1295053668. It was assigned on May 11, 2010 and is currently active in the NPPES registry.
What is the specialty of Footstar Pedorthic Center LLC?
Footstar Pedorthic Center LLC is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X), licensed in CT under license number 2391.
Where does Footstar Pedorthic Center LLC practice?
The practice location is 74 Broad St, Milford, CT 06460-3353. The office can be reached at 800-318-0007 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295053668 directly on the NPPES registry website.