Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champion Shoe Sales & Repair Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1245615517

Champion Shoe Sales & Repair Inc is a Durable Medical Equipment & Medical Supplies in Lewisburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 N 2nd St Rear
Lewisburg, PA 17837-1564
Phone: (570) 523-0822
Fax: (570) 523-0846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 6000005305 (PA)

Record details

NPI number1245615517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Fick — President · (570) 523-0822
NPI enumeratedJuly 28, 2015
Last updated in NPPESOctober 26, 2015
Mailing address119 N 2nd St Rear, Lewisburg, PA 17837-1564

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