Organization
MSA SHOE SERVICES
Active
Other names
MSA Orthopedic Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SION KHAIMOV (OWNER)
(440) 442-1443
Entity
Organization
Contact information
Practice address
5929 MAYFIELD ROAD, CLEVELAND, OH 44124-2902
(440) 442-1443
(440) 442-1443
Mailing address
5929 MAYFIELD ROAD, CLEVELAND, OH 44124-2902
(440) 442-1443
(440) 442-1443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18448670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989300
—
OH
Enumeration date
09/14/2006
Last updated
08/22/2020
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