Provider Demographics
NPI:1124071659
Name:BEST STEPS SHOES
Entity type:Organization
Organization Name:BEST STEPS SHOES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-598-3720
Mailing Address - Street 1:2160 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE L
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2243
Mailing Address - Country:US
Mailing Address - Phone:702-598-3720
Mailing Address - Fax:702-633-7180
Practice Address - Street 1:2160 W CHARLESTON BLVD
Practice Address - Street 2:SUITE L
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2243
Practice Address - Country:US
Practice Address - Phone:702-598-3720
Practice Address - Fax:702-633-7180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVMP00370OtherNV STATE BOARD OF PHARMCY