Organization
HEAVENLY FIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT MC CALLUM (OWNER)
(920) 533-3050
Entity
Organization
Contact information
Practice address
545 SKYHAWK AVE, CAMPBELLSPORT, WI 53010-3055
(920) 533-3050
(920) 533-3052
Mailing address
545 SKYHAWK AVE, CAMPBELLSPORT, WI 53010-3055
(920) 533-3050
(920) 533-3052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
03/31/2008
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