Provider Demographics
NPI:1629246509
Name:HEALTHY SOLES INC
Entity Type:Organization
Organization Name:HEALTHY SOLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-433-6247
Mailing Address - Street 1:332 W MARION
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORSYTH
Mailing Address - State:IL
Mailing Address - Zip Code:62535
Mailing Address - Country:US
Mailing Address - Phone:217-433-6247
Mailing Address - Fax:
Practice Address - Street 1:332 W MARION
Practice Address - Street 2:SUITE 2
Practice Address - City:FORSYTH
Practice Address - State:IL
Practice Address - Zip Code:62535
Practice Address - Country:US
Practice Address - Phone:217-433-6247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILB00842175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty