Provider Demographics
NPI:1336327717
Name:FITTING CHOICES INC
Entity Type:Organization
Organization Name:FITTING CHOICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED FITTER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETT
Authorized Official - Middle Name:
Authorized Official - Last Name:WENTWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:719-351-8286
Mailing Address - Street 1:4419 CENTENNIAL BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3739
Mailing Address - Country:US
Mailing Address - Phone:719-351-8286
Mailing Address - Fax:719-265-9334
Practice Address - Street 1:5434 MAJESTIC DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3540
Practice Address - Country:US
Practice Address - Phone:719-351-8286
Practice Address - Fax:719-265-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5858850001Medicare NSC