Organization
THE SHOE FITS AT 1 FOOT 2 FOOT LLC
Active
Organization
THE SHOE FITS AT 1 FOOT 2 FOOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CRAIG DAIRMAN DPM, FACFAS (PRESIDENT/MEDICAL DIRECTOR)
(757) 934-0768
Entity
Organization
Contact information
Practice address
173 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
(757) 925-1901
Mailing address
PO BOX 55350, VIRGINIA BEACH, VA 23471-9350
(757) 318-7002
(757) 318-7003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5966790001
MEDICARE DMERC
—
Enumeration date
10/05/2006
Last updated
09/25/2008
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