North Shore Pedorthics, LLC
in Lorain, OH. Organization (NPI-2).
NPI number1508045238
StatusActive
Last updated in NPPESJul 14, 2015
Details
- NPI
- 1508045238
- Entity type
- Organization (NPI-2)
- Legal business name
- North Shore Pedorthics, LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2007
- Last updated
- Jul 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | LO 228 LPED 029 | OH | Yes |
Practice location
4370 Oberlin AveSuite B
Lorain, OH 44053-2942
Phone 440-989-2799 · Fax 440-989-1127
Mailing address
4370 Oberlin AveSuite B
Lorain, OH 44053-2942
Phone 440-989-2799 · Fax 440-989-1127
Authorized official
Dean A. Mason
Single Member
4409892799
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