Provider Demographics
NPI:1790872695
Name:APLOMB LLC
Entity Type:Organization
Organization Name:APLOMB LLC
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRITTS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PEDORTHIST
Authorized Official - Phone:216-831-3322
Mailing Address - Street 1:27085 CHAGRIN BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4208
Mailing Address - Country:US
Mailing Address - Phone:216-831-3322
Mailing Address - Fax:216-831-5969
Practice Address - Street 1:27085 CHAGRIN BLVD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:OH
Practice Address - Zip Code:44122-4208
Practice Address - Country:US
Practice Address - Phone:216-831-3322
Practice Address - Fax:216-831-5969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH119332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2614193Medicaid
5315300001Medicare ID - Type Unspecified