Blue Moon Shoes

Prosthetic & Orthotic Supplier Center | Prosthetic & Orthotic Supplier


  
110 N Buffalo St, Warsaw
Indiana, 46580-2754

 574-267-5537     574-267-6165Maps & Directions
Blue Moon Shoes is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Warsaw, Indiana. It is situated at 110 N Buffalo St, Warsaw and its contact number is 574-267-5537. The authorized person of Blue Moon Shoes is Ms. Lisa Ellen Rostvold who is Owner of the store and his/her contact number is 574-267-5537. Primary license number for Blue Moon Shoes is CPED2624 in Indiana.
Blue Moon Shoes is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


Complete Center Profile:
Blue Moon Shoes Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization: Prosthetic & Orthotic Supplier, Prosthetic & Orthotic Supplier
Address:110 N Buffalo St, Warsaw,
Indiana, 46580-2754
Phone:574-267-5537
Fax:574-267-6165
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Ms. Lisa Ellen Rostvold
Position: Owner
Contact Number: 574-267-5537
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Blue Moon Shoes center are as mentioned below.
NPI Number: 1558539338
NPI Enumeration Date: 14 Feb, 2008
NPI Last Update On: 19 Jun, 2008

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blue Moon Shoes are as mentioned below.
SpecializationLicense NumberStateStatus
CPED2624IndianaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Blue Moon Shoes
110 N Buffalo St,
Warsaw, Indiana
Zip: 46580-2754
Phone Number: 574-267-5537
Fax Number: 574-267-6165
Patients can reach Blue Moon Shoes at 110 N Buffalo St, Warsaw, Indiana or can call to book an appointment on 574-267-5537. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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