Organization
SOLE COMFORT SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET LUCAS-SWISHER C.PED (PRESIDENT)
(505) 296-1645
Entity
Organization
Contact information
Practice address
11200 MONTGOMERY BLVD NE, #6, ALBUQUERQUE, NM 87111-2677
(505) 296-1645
(505) 296-1647
Mailing address
11200 MONTGOMERY BLVD NE, #6, ALBUQUERQUE, NM 87111-2677
(505) 296-1645
(505) 296-1647
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76722
BCBS PROVIDER ID NUMBER
NM
Enumeration date
11/24/2006
Last updated
08/22/2020
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