Organization
2ND SOLE-CUSTOM SHOES & ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY BENJAMIN ELLIOTT C.PED, CFO (VICE-PRESIDENT)
(530) 872-3710
Entity
Organization
Contact information
Practice address
5923 CLARK RD, SUITE C, PARADISE, CA 95969-4866
(530) 872-3710
(530) 872-7234
Mailing address
5923 CLARK RD, SUITE C, PARADISE, CA 95969-4866
(530) 872-3710
(530) 872-7234
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/05/2015
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