Healthcare Provider Details
I. General information
NPI: 1295653731
Provider Name (Legal Business Name): VETERANS ESSENTIAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
155 W MAIN ST
MONROVIA IN
46157-9582
US
IV. Provider business mailing address
2945 W CROSSCREEK DR
MONROVIA IN
46157-8100
US
V. Phone/Fax
- Phone: 317-435-2420
- Fax:
- Phone: 317-435-2420
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 224L00000X |
| Taxonomy | Pedorthist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
ARLISS
SEALS
Title or Position: OWNER
Credential: C.PED
Phone: 317-363-0149