Organization
SHOE HORN INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SGRO C.PED (OWNER CERTIFIED PEDORTHIST)
(330) 630-2873
Entity
Organization
Contact information
Practice address
1115 E TALLMADGE AVE, AKRON, OH 44310-3517
(330) 630-2873
(330) 630-2878
Mailing address
1115 E TALLMADGE AVE, AKRON, OH 44310-3517
(330) 630-2873
(330) 630-2878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LPED 144 TEMP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2598185
—
OH
Enumeration date
11/07/2006
Last updated
02/01/2013
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