Wanda Sue Johnson in Durham - Prosthetic/orthotic Supplier
Wanda Sue Johnson - NPI 1043331440
Wanda Sue Johnson is a Prosthetic/orthotic Supplier in Durham, North Carolina. Wanda Sue Johnson practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Wanda Sue Johnson is 1043331440. The last update date is 2007-07-11.
Wanda Sue Johnson's current location address is 4228 Garrett Rd, Durham, North Carolina. You can contact this provider via phone number 9194897408 and fax number 9194905909. The mailing address for Wanda Sue Johnson is 4228 Garrett Rd, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Sue Johnson |
|---|---|
| Address | 4228 Garrett Rd, Durham, North Carolina |
| Phone Number | 9194897408 |
| Fax Number | 9194905909 |
| Sole Proprietor | Y |
| Credentials | RMF/CMF |
NPI Number Detail
| NPI Number | 1043331440 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 4228 Garrett Rd |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277073430 |
| Phone Number | 9194897408 |
| Fax Number | 9194905909 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7795110 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wanda Sue Johnson by the Centers for Medicare & Medicaid Services?
The Wanda Sue Johnson has been assigned the NPI (National Provider Identifier) 1043331440 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 physical location address of Wanda Sue Johnson?
The Wanda Sue Johnson is physically situated at 4228 Garrett Rd, in the city of Durham, state of NC, with the postal code 277073430.
What is Wanda Sue Johnson's area of expertise and its corresponding taxonomy classification?
The Wanda Sue Johnson's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043331440 to Wanda Sue Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1043331440 to Wanda Sue Johnson on 2007-04-03.
As of what date were the Wanda Sue Johnson's details last updated?
The information pertaining to the Wanda Sue Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-11.