Provider Demographics
NPI:1790345320
Name:FINESSE FOOTCARE LLC
Entity Type:Organization
Organization Name:FINESSE FOOTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:216-382-8070
Mailing Address - Street 1:5035 MAYFIIELD RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:216-382-8070
Mailing Address - Fax:216-382-6767
Practice Address - Street 1:5035 MAYFIELD RD STE 215
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2603
Practice Address - Country:US
Practice Address - Phone:216-382-8070
Practice Address - Fax:216-382-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty