location
search-icon
institution
Provost Shoes
Durable Medical Equipment & Medical Supplies in Bloomsburg, Pennsylvania
NPI 1972743268

Provost Shoes is a Durable Medical Equipment & Medical Supplies based in Bloomsburg, PA. Provost Shoes practices in Bloomsburg, PA. The NPI Number for Provost Shoes is 1972743268 and holds a License No. 4244780001 (Pennsylvania).

The current practice location address for Provost Shoes is 225 Columbia Mall Dr, Bloomsburg, PA and can be reached out via phone at 570-784-4645 and via fax at 570-455-7704.

Location: 225 Columbia Mall Dr, Bloomsburg, PA, 17815-8368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972743268
Provider Name
Provost Shoes
Credential
Provider Entity Type
Organization
Address
225 Columbia Mall Dr, Bloomsburg, PA, 17815-8368
Phone Number
570-784-4645
Fax Number
570-455-7704
Provider Enumeration Date
02/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 Columbia Mall Dr
City
Bloomsburg
State
Pennsylvania
Zip
17815-8368
Phone Number
570-784-4645
Fax Number
570-455-7704
person
Provider Business Mailing Address Details
Address
225 Columbia Mall Dr
City
Bloomsburg
State
Pennsylvania
Zip
17815-8368
Phone Number
570-784-4645
Fax Number
570-455-7704
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
4244780001 (Pennsylvania)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.