Organization
SATURDAYS SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TRENTINI (OWNER)
(440) 975-9834
Entity
Organization
Contact information
Practice address
36301 EUCLID AVE, WILLOUGHBY, OH 44094-4414
(440) 975-9834
(440) 975-9836
Mailing address
36301 EUCLID AVE, WILLOUGHBY, OH 44094-4414
(440) 975-9834
(440) 975-9836
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000270664
ANTHEM BCBS OF OH
OH
01
—
107260
KAISER
OH
05
—
2385511
—
OH
01
—
3418115
MEDICAL MUTUAL
OH
01
—
7242426
AETNA
OH
Enumeration date
04/12/2007
Last updated
06/14/2010
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