Graybeal Orthopedic, Llc in Johnson City - Prosthetic/orthotic Supplier
Graybeal Orthopedic, Llc - NPI 1265452650
Graybeal Orthopedic, Llc is a Prosthetic/orthotic Supplier in Johnson City, Tennessee. Graybeal Orthopedic, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Graybeal Orthopedic, Llc is 1265452650. The last update date is 2020-05-27.
Graybeal Orthopedic, Llc's current location address is 107 E Myrtle Ave, Johnson City, Tennessee. You can contact this provider via phone number 4239759884 and fax number 4239756678. The mailing address for Graybeal Orthopedic, Llc is 107 E Myrtle Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graybeal Orthopedic, Llc |
|---|---|
| Address | 107 E Myrtle Ave, Johnson City, Tennessee |
| Phone Number | 4239759884 |
| Fax Number | 4239756678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fann Adam |
| Credentials | CPO |
| Telephone Number | 4239759884 |
NPI Number Detail
| NPI Number | 1265452650 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-05-27 |
Provider Mailing Address Detail
| Address | 107 E Myrtle Ave |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376014631 |
| Phone Number | 4239759884 |
| Fax Number | 4239756678 |
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 |
|---|---|---|---|
| 1452173 | TN | -- | |
| 3035088 | TN | BCBS OF TN |
Post Comment/ Review Below
What is the Graybeal Orthopedic, Llc's 1265452650?
The Graybeal Orthopedic, Llc's NPI (National Provider Identifier) Number is 1265452650. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Graybeal Orthopedic, Llc is geographically located?
The Graybeal Orthopedic, Llc is physically situated at the following location: 107 E Myrtle Ave, Johnson City, TN, 376014631.
What is Graybeal Orthopedic, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Graybeal Orthopedic, Llc is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
On what date did the Graybeal Orthopedic, Llc receive the assignment of its 1265452650 from the Centers for Medicare & Medicaid Services?
The Graybeal Orthopedic, Llc was issued its 1265452650 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the details related to Graybeal Orthopedic, Llc most recently updated or revised?
The information pertaining to Graybeal Orthopedic, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-27.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN