Provider Demographics
NPI:1962678714
Name:FOOT CARE, INC.
Entity Type:Organization
Organization Name:FOOT CARE, INC.
Other - Org Name:THE COBBLER SHOP SHOES AND PEDORTHICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED PEDORTHIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-775-2700
Mailing Address - Street 1:115 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2312
Mailing Address - Country:US
Mailing Address - Phone:989-775-2700
Mailing Address - Fax:
Practice Address - Street 1:115 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2312
Practice Address - Country:US
Practice Address - Phone:989-775-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment