1770535759 NPI number — INNOVATIVE PROSTHETIC DESIGNS LLC

Table of content: (NPI 1770535759)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770535759 NPI number — INNOVATIVE PROSTHETIC DESIGNS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INNOVATIVE PROSTHETIC DESIGNS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770535759
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 689
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AMORY
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38821-0689
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
523 LINCOLN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39705-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-240-9700
Provider Business Practice Location Address Fax Number:
662-240-9928
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
UNGARO
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
VINCENT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
662-240-9700

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04057226 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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