Organization
CHIAPPETTA SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED C CHIAPPETTA CERTIFIED PEDORTHIST (OWNER)
(262) 657-9142
Entity
Organization
Contact information
Practice address
6821 39TH AVE, KENOSHA, WI 53142-7127
(262) 657-9142
(262) 657-9169
Mailing address
6821 39TH AVE, KENOSHA, WI 53142-7127
(262) 657-9142
(262) 657-9169
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
875
WI
Other
Enumeration date
02/07/2007
Last updated
04/16/2008
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