Provider Demographics
NPI:1013070705
Name:TAPIA ENTERPRISES, INC.
Entity Type:Organization
Organization Name:TAPIA ENTERPRISES, INC.
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:C-PED
Authorized Official - Phone:574-272-3668
Mailing Address - Street 1:323 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-8049
Mailing Address - Country:US
Mailing Address - Phone:574-272-3668
Mailing Address - Fax:574-272-3665
Practice Address - Street 1:323 FLORENCE AVENUE
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530
Practice Address - Country:US
Practice Address - Phone:574-272-3668
Practice Address - Fax:574-272-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies