Provider Demographics
NPI:1598037798
Name:OH FOR FEET SAKE, LLC.
Entity Type:Organization
Organization Name:OH FOR FEET SAKE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAMBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CFCN
Authorized Official - Phone:601-845-4946
Mailing Address - Street 1:368 SCARBROUGH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-9038
Mailing Address - Country:US
Mailing Address - Phone:601-845-4946
Mailing Address - Fax:
Practice Address - Street 1:368 SCARBROUGH ST
Practice Address - Street 2:SUITE B
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9038
Practice Address - Country:US
Practice Address - Phone:601-845-4946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty