1396166351 NPI number — PRECISION PROSTHETICS LLC

Table of content: (NPI 1396166351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396166351 NPI number — PRECISION PROSTHETICS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRECISION PROSTHETICS 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:
1396166351
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5526 SCOTLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENTONIA
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39040-9310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-941-3238
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1403 PLAZA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YAZOO CITY
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39194-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-746-8331
Provider Business Practice Location Address Fax Number:
662-673-0043
Provider Enumeration Date:
12/18/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DUNCAN
Authorized Official First Name:
TRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLER
Authorized Official Telephone Number:
601-878-6945

Provider Taxonomy Codes

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

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