Provider Demographics
NPI:1922297431
Name:NORCROSS WAY INC. DBA FOOT SOLUTIONS
Entity Type:Organization
Organization Name:NORCROSS WAY INC. DBA FOOT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COCCHIARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-643-1700
Mailing Address - Street 1:15230 NE 24TH ST STE O
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5540
Mailing Address - Country:US
Mailing Address - Phone:425-643-1700
Mailing Address - Fax:425-643-1701
Practice Address - Street 1:15230 NE 24TH ST STE O
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5540
Practice Address - Country:US
Practice Address - Phone:425-643-1700
Practice Address - Fax:425-643-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-20
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6059330001Medicare NSC