Sole Source LLC Your Diabetic Shoe Store
NPI 1063778884 · Prosthetic/Orthotic Supplier · Ypsilanti, MI
Sole Source LLC Your Diabetic Shoe Store is a Prosthetic/Orthotic Supplier organization in Ypsilanti, MI (NPI 1063778884).
Provider details
- NPI number
- 1063778884
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Annette Bottum, Shoe Fitter(734) 340-9614
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-05
- Last updated
- 2012-05-22
Frequently asked questions
- What is Sole Source LLC Your Diabetic Shoe Store's NPI number?
- Sole Source LLC Your Diabetic Shoe Store's National Provider Identifier (NPI) is 1063778884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sole Source LLC Your Diabetic Shoe Store?
- Sole Source LLC Your Diabetic Shoe Store is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Sole Source LLC Your Diabetic Shoe Store located?
- Sole Source LLC Your Diabetic Shoe Store's practice location on file with NPPES is 50 N Huron St, Ypsilanti, MI 48197-2608.
- What is Sole Source LLC Your Diabetic Shoe Store's phone number?
- The practice phone number listed in the NPPES registry for Sole Source LLC Your Diabetic Shoe Store is (734) 340-9614.
- Who is the authorized official for Sole Source LLC Your Diabetic Shoe Store?
- The authorized official listed on Sole Source LLC Your Diabetic Shoe Store's NPPES record is Annette Bottum, Shoe Fitter. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sole Source LLC Your Diabetic Shoe Store's NPI active?
- Yes — Sole Source LLC Your Diabetic Shoe Store's NPI (1063778884) is active in the NPPES registry as of the last update on 2012-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.