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Contact Information

HAGOPIAN SHOES, LLC
48 E FERGUSON AVE
WOOD RIVER, IL62095
 Phone: 618-254-0276
 Fax: 618-254-1233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for HAGOPIAN SHOES, LLC

NPI Number 1760418099
LBN Legal business name HAGOPIAN SHOES, LLC
Authorized official ANDREW HAGOPIAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 06/22/2018 - About 8 years ago
Identifiers
IL License # 212000071
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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