Labelle's Shoe Repair LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LABELLE'S SHOE REPAIR LLC

Practice address

612 Main St
Laconia, NH 03246-3448

Phone

(603) 528-1528

Fax

(603) 528-1528

NPI assigned

Dec 5, 2006

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George R Boudreau

Title

Member, Owner

Phone

(603) 528-1528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice H Boudreau, CERTIFIED PEDORTHIST

  • Specialist
  • Laconia, NH
  • NPI 1891861688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1568520047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463448",
            "telephone_number": "603-528-1528",
            "fax_number": "603-528-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463448",
            "telephone_number": "603-528-1528",
            "fax_number": "603-528-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABELLE'S SHOE REPAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BOUDREAU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER, OWNER",
        "authorized_official_telephone_number": "603-528-1528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Kozlow, DDS
• Charlene Kreiensieck, P.A
• Nancy Kressin, MD
• Rita Marie Krupa, PT
• Shamai Kurbitaeva, M.D.
• Julianna Labul
• Taylor J Lacey, PA
• Laconia Family Dental PLLC
• Laconia Housing & Redevelopment Authority
• Laconia Internal Medicine, PLLC

• Durable Medical Equipment & Medical Supplies in Laconia, NH
• Providers in Laconia, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.