Provider Demographics
NPI:1912907478
Name:A FITTING PLACE, INC
Entity Type:Organization
Organization Name:A FITTING PLACE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TREASUERE
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHEUNER
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:901-683-0210
Mailing Address - Street 1:6150 POPLAR AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4784
Mailing Address - Country:US
Mailing Address - Phone:901-683-0210
Mailing Address - Fax:901-683-0197
Practice Address - Street 1:6150 POPLAR AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4784
Practice Address - Country:US
Practice Address - Phone:901-683-0210
Practice Address - Fax:901-683-0197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1948483OtherCIGNA PROVIDER #
TN0018127OtherBCBS OF TN PROVIDER #
TN3538232Medicaid