Provider Demographics
NPI:1508935388
Name:L & E COMFORT SHOES INC
Entity Type:Organization
Organization Name:L & E COMFORT SHOES INC
Other - Org Name:SUNDANCE SHOE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:S
Authorized Official - Last Name:EHRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-348-1195
Mailing Address - Street 1:470 TOWN CENTER
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-6001
Mailing Address - Country:US
Mailing Address - Phone:215-348-1195
Mailing Address - Fax:215-348-9202
Practice Address - Street 1:470 TOWN CENTER
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-6001
Practice Address - Country:US
Practice Address - Phone:215-348-1195
Practice Address - Fax:215-348-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA205103OtherHIGHMARK
0135680001Medicare ID - Type Unspecified