Provider Demographics
NPI:1326103672
Name:NOTHIN' BUT SOLE LLC
Entity Type:Organization
Organization Name:NOTHIN' BUT SOLE LLC
Other - Org Name:NBS ORTHOTICS LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMANO
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:651-298-0652
Mailing Address - Street 1:526 7TH ST W STE A
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3006
Mailing Address - Country:US
Mailing Address - Phone:651-298-0652
Mailing Address - Fax:651-298-8711
Practice Address - Street 1:526 7TH ST W STE A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3006
Practice Address - Country:US
Practice Address - Phone:651-298-0652
Practice Address - Fax:651-298-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies