The Forms Boutique, Inc. in Columbia - Prosthetic/orthotic Supplier
The Forms Boutique, Inc. - NPI 1689768376
The Forms Boutique, Inc. is a Prosthetic/orthotic Supplier in Columbia, South Carolina. The Forms Boutique, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for The Forms Boutique, Inc. is 1689768376. The last update date is 2020-03-17.
The Forms Boutique, Inc.'s current location address is 3308 Forest Dr, Columbia, South Carolina. You can contact this provider via phone number 8037388400 and fax number 8037388498. The mailing address for The Forms Boutique, Inc. is 3308 Forest Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Forms Boutique, Inc. |
|---|---|
| Address | 3308 Forest Dr, Columbia, South Carolina |
| Phone Number | 8037388400 |
| Fax Number | 8037388498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mclellan D. Amy |
| Credentials | RFM, CMF |
| Telephone Number | 8037997096 |
NPI Number Detail
| NPI Number | 1689768376 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2020-03-17 |
Provider Mailing Address Detail
| Address | 3308 Forest Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292044024 |
| Phone Number | 8037388400 |
| Fax Number | 8037388498 |
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 |
|---|---|---|---|
| 556570 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to The Forms Boutique, Inc.?
The The Forms Boutique, Inc. has been issued the NPI (National Provider Identifier) 1689768376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where The Forms Boutique, Inc. is geographically located?
The The Forms Boutique, Inc. is physically situated at the following location: 3308 Forest Dr, Columbia, SC, 292044024.
What is The Forms Boutique, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for The Forms Boutique, Inc. is Prosthetic/orthotic Supplier, and the taxonomy classification code that categorizes this area of expertise is 335E00000X.
On what date was the 1689768376 assigned to The Forms Boutique, Inc.?
The The Forms Boutique, Inc. was issued its 1689768376 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding The Forms Boutique, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to The Forms Boutique, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-17.