MR. VAN'S SHOE REPAIR
NPI 1366544454
Durable Medical Equipment & Medical Supplies in Saginaw, MI

Active since September 01, 2006
4650 STATE ST, SAGINAW, MI 48603(989) 790-1550 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About MR. VAN'S SHOE REPAIR

This page provides the complete NPI Profile along with additional information for Mr. Van's Shoe Repair, a provider established in Saginaw, Michigan operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1366544454 assigned on September 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Gerald Heiser (Owner)

NPI
1366544454 Verify this NPI
Provider Name
MR. VAN'S SHOE REPAIR
Entity Type
Organization
Location Address
4650 STATE ST SAGINAW, MI 48603
Location Phone
(989) 790-1550
Mailing Address
4650 STATE ST SAGINAW, MI 48603
Mailing Phone
(989) 790-1550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GERALD HEISER

Authorized Official Title
OWNER
Authorized Official Phone
(989) 790-1550

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366544454, enumerated as an "organization" on September 01, 2006.

The provider is located at 4650 STATE ST SAGINAW, MI 48603 and the phone number is (989) 790-1550.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.