Luther Green Brock in Winston Salem - Orthotic Fitter
Luther Green Brock - NPI 1821145400
Luther Green Brock is a Orthotic Fitter in Winston Salem, North Carolina. Luther Green Brock practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Luther Green Brock is 1821145400. The last update date is 2013-02-12.
Luther Green Brock's current location address is Po Box 11348, Winston Salem, North Carolina. You can contact this provider via phone number 3368960408 and fax number 3368960409. The mailing address for Luther Green Brock is Po Box 11348, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luther Green Brock |
|---|---|
| Address | Po Box 11348, Winston Salem, North Carolina |
| Phone Number | 3368960408 |
| Fax Number | 3368960409 |
| Sole Proprietor | N |
| Credentials | CFTS, CFO |
NPI Number Detail
| NPI Number | 1821145400 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2013-02-12 |
Provider Mailing Address Detail
| Address | Po Box 11348 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271161348 |
| Phone Number | 3368960408 |
| Fax Number | 3368960409 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotic Fitter |
|---|---|
| Taxonomy | 225000000X |
| Licence No | CFTS0684 |
|
Definition: An individual trained in the management of fitting prefabricated orthoses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7795387 | NC | -- | |
| 7795178 | NC | -- |
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What is the unique identifier code issued to Luther Green Brock by the Centers for Medicare & Medicaid Services?
The Luther Green Brock has been assigned the NPI (National Provider Identifier) 1821145400. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Luther Green Brock located?
The Luther Green Brock is located at Po Box 11348, Winston Salem, NC 271161348.
What is Luther Green Brock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Luther Green Brock's specialized field of practice is Orthotic Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 225000000X.
On what date was the 1821145400 assigned to Luther Green Brock?
The Luther Green Brock was issued its 1821145400 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Luther Green Brock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Luther Green Brock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-12.
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