Footheals Prosthetics And Orthotics, Inc. in Johnson City - Prosthetic/orthotic Supplier
Footheals Prosthetics And Orthotics, Inc. - NPI 1124101373
Footheals Prosthetics And Orthotics, Inc. is a Prosthetic/orthotic Supplier in Johnson City, Tennessee. Footheals Prosthetics And Orthotics, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Footheals Prosthetics And Orthotics, Inc. is 1124101373. The last update date is 2008-04-08.
Footheals Prosthetics And Orthotics, Inc.'s current location address is 2406 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4239755462 and fax number 4239755463. The mailing address for Footheals Prosthetics And Orthotics, Inc. is 2406 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Footheals Prosthetics And Orthotics, Inc. |
|---|---|
| Address | 2406 Susannah St, Johnson City, Tennessee |
| Phone Number | 4239755462 |
| Fax Number | 4239755463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROTHETIST |
|---|---|
| Authorized Official Name | Hoyle K Calvin |
| Credentials | CP, BOCO, |
| Telephone Number | 4239755462 |
NPI Number Detail
| NPI Number | 1124101373 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 2406 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011725 |
| Phone Number | 4239755462 |
| Fax Number | 4239755463 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4145147 | TN | BCBS OF TN | |
| 1455141 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Footheals Prosthetics And Orthotics, Inc. by the Centers for Medicare & Medicaid Services?
The Footheals Prosthetics And Orthotics, Inc. has been assigned the NPI (National Provider Identifier) 1124101373 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Footheals Prosthetics And Orthotics, Inc. is physically located?
The Footheals Prosthetics And Orthotics, Inc. is physically situated at the following address: 2406 Susannah St, Johnson City, TN, 376011725.
What is the Footheals Prosthetics And Orthotics, Inc.'s area of specialization and corresponding taxonomy classification?
The Footheals Prosthetics And Orthotics, Inc.'s specialty field is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Footheals Prosthetics And Orthotics, Inc. receive the assignment of its 1124101373 from the Centers for Medicare & Medicaid Services?
The Footheals Prosthetics And Orthotics, Inc. was issued its 1124101373 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Footheals Prosthetics And Orthotics, Inc.'s details last updated?
The information pertaining to the Footheals Prosthetics And Orthotics, Inc., including its address, specialty, and other details, was most recently updated on 2008-04-08.