Provider Demographics
NPI:1346354206
Name:BEST-MADE SHOES
Entity Type:Organization
Organization Name:BEST-MADE SHOES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:412-621-9367
Mailing Address - Street 1:5143 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2217
Mailing Address - Country:US
Mailing Address - Phone:412-621-9363
Mailing Address - Fax:412-621-1501
Practice Address - Street 1:5143 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2217
Practice Address - Country:US
Practice Address - Phone:412-621-9363
Practice Address - Fax:412-621-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005622700002Medicaid
1700155744Medicare NSC
PA0134470001Medicare NSC
0134470001Medicare ID - Type Unspecified