Provider Demographics
NPI:1548620370
Name:Z COIL COMFORT SHOES
Entity type:Organization
Organization Name:Z COIL COMFORT SHOES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:THIERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-407-4976
Mailing Address - Street 1:410 N TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1619
Mailing Address - Country:US
Mailing Address - Phone:313-407-4976
Mailing Address - Fax:
Practice Address - Street 1:410 N TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1619
Practice Address - Country:US
Practice Address - Phone:313-407-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies