Organization
SHIPPY SHOE STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIAM SHIPPY CERTIFIED PEDORTHIST (OWNER)
(715) 344-6993
Entity
Organization
Contact information
Practice address
5474 US HIGHWAY 10 E, SUITE 6, STEVENS POINT, WI 54481-9115
(715) 344-6993
(715) 344-6658
Mailing address
5474 US HIGHWAY 10 E, SUITE 6, STEVENS POINT, WI 54481-9115
(715) 344-6993
(715) 344-6658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41722000
—
WI
Enumeration date
06/25/2006
Last updated
08/22/2020
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