1447289293 NPI number — BEST FIT SURGICAL APPLIANCES, INC.

Table of content: (NPI 1447289293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447289293 NPI number — BEST FIT SURGICAL APPLIANCES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST FIT SURGICAL APPLIANCES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447289293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4544 W. 103RD ST
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
OAK LAWN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60453-4834
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-634-3540
Provider Business Mailing Address Fax Number:
773-701-6282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4544 W. 103RD ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
OAK LAWN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60453-4834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-634-3540
Provider Business Practice Location Address Fax Number:
773-701-6282
Provider Enumeration Date:
07/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STOCKER
Authorized Official First Name:
JOSEPHINE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
708-634-3540

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  2424-4279 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1671413 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com