Provider Demographics
NPI:1639260409
Name:FINE FITTINGS LLC
Entity Type:Organization
Organization Name:FINE FITTINGS LLC
Other - Org Name:FINE FITTINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO AND OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-214-3324
Mailing Address - Street 1:18795 N REEMS RD
Mailing Address - Street 2:STE G-113
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-8685
Mailing Address - Country:US
Mailing Address - Phone:623-214-3324
Mailing Address - Fax:623-214-3368
Practice Address - Street 1:18795 N REEMS RD
Practice Address - Street 2:STE G-113
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8685
Practice Address - Country:US
Practice Address - Phone:623-214-3324
Practice Address - Fax:623-214-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04008386332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5394380003Medicare NSC