Provider Demographics
NPI:1780914069
Name:WHEN THE SHOE FITS, LLC
Entity type:Organization
Organization Name:WHEN THE SHOE FITS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OHARA
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:360-521-9462
Mailing Address - Street 1:13305 NE HIGHWAY 99 STE 100
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2804
Mailing Address - Country:US
Mailing Address - Phone:360-546-1929
Mailing Address - Fax:
Practice Address - Street 1:13305 NE HIGHWAY 99 STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2804
Practice Address - Country:US
Practice Address - Phone:360-546-1929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN/A FOR C.PEDS332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment