Organization
V&A BOOTERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOTT ROSS MILLER (MANAGER)
(630) 880-9528
Entity
Organization
Contact information
Practice address
6292 S WESTNEDGE AVE, PORTAGE, MI 49002-2810
(269) 323-9888
(269) 323-7907
Mailing address
6292 S WESTNEDGE AVE, PORTAGE, MI 49002-2810
(269) 323-9888
(269) 323-7907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up