Healthcare Provider Details
I. General information
NPI: 1407935950
Provider Name (Legal Business Name): FITTING DESIGNS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34491A US HIGHWAY 98
LILLIAN AL
36549-4049
US
IV. Provider business mailing address
2645 ONEAL LN BLDG D
BATON ROUGE LA
70816-3187
US
V. Phone/Fax
- Phone: 225-228-6564
- Fax: 225-273-5555
- Phone: 251-961-0075
- Fax: 225-273-5555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHYLLIS
SALES
Title or Position: PRESIDENT
Credential:
Phone: 225-273-1900