Custom Orthotics Of North Carolina, Llc in Durham - Customized Equipment
Custom Orthotics Of North Carolina, Llc - NPI 1932127396
Custom Orthotics Of North Carolina, Llc is a Customized Equipment in Durham, North Carolina. Custom Orthotics Of North Carolina, Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Custom Orthotics Of North Carolina, Llc is 1932127396. The last update date is 2020-08-22.
Custom Orthotics Of North Carolina, Llc's current location address is 4125 Ben Franklin Blvd, Durham, North Carolina. You can contact this provider via phone number 9194795990 and fax number 9194798782. The mailing address for Custom Orthotics Of North Carolina, Llc is 4125 Ben Franklin Blvd, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Orthotics Of North Carolina, Llc |
|---|---|
| Address | 4125 Ben Franklin Blvd, Durham, North Carolina |
| Phone Number | 9194795990 |
| Fax Number | 9194798782 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Deal Bradley Stephen |
| Credentials | BO, CO |
| Telephone Number | 9194795990 |
NPI Number Detail
| NPI Number | 1932127396 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4125 Ben Franklin Blvd |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277042167 |
| Phone Number | 9194795990 |
| Fax Number | 9194798782 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | C18399 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 046P3 | NC | BCBS PROVIDER NUMBER | |
| 7704266 | NC | -- |
Post Comment/ Review Below
What is the Custom Orthotics Of North Carolina, Llc's unique identification number?
The Custom Orthotics Of North Carolina, Llc has been assigned the NPI (National Provider Identifier) Number 1932127396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Custom Orthotics Of North Carolina, Llc?
The Custom Orthotics Of North Carolina, Llc is situated at 4125 Ben Franklin Blvd, in the city of Durham, state of NC, with the zip code 277042167.
What is the Custom Orthotics Of North Carolina, Llc's specialty and taxonomy code?
The Custom Orthotics Of North Carolina, Llc's specialty is Customized Equipment, and the corresponding taxonomy code is 332Bc3200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932127396 to Custom Orthotics Of North Carolina, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1932127396 to Custom Orthotics Of North Carolina, Llc on 2006-07-17.
When was the information pertaining to Custom Orthotics Of North Carolina, Llc most recently updated or revised?
The details related to Custom Orthotics Of North Carolina, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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