Provider Demographics
NPI:1487092995
Name:FRONTRUNNERS INC.
Entity type:Organization
Organization Name:FRONTRUNNERS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:435-655-8110
Mailing Address - Street 1:2600 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4623
Mailing Address - Country:US
Mailing Address - Phone:310-315-1077
Mailing Address - Fax:310-315-1022
Practice Address - Street 1:745 7TH AVE.
Practice Address - Street 2:SUPER RUNNERS SHOP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-398-2449
Practice Address - Fax:212-398-2467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty