Corset Shop Intimates, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MC 668-510 Issued in MI

Legal business name

CORSET SHOP INTIMATES, LLC

Practice address

5801 State St
Saginaw, MI 48603-3420

Phone

(989) 799-3889

Fax

(989) 799-0798

NPI assigned

Apr 7, 2008

Last updated

Apr 2, 2015By 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

Mrs. Linda Kay Hancock, CFM

Title

Owner

Phone

(989) 799-3889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1659544088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033420",
            "telephone_number": "989-799-3889",
            "fax_number": "989-799-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033420",
            "telephone_number": "989-799-3889",
            "fax_number": "989-799-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSET SHOP INTIMATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-799-3889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "MC 668-510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.