Country Cobbler, Ltd.

LBN: Country Cobbler, Ltd.
Country Cobbler, Ltd. is an health care organization with primary practice located at 6815 Fayetteville Road #102, Durham NC 27713-7081. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Country Cobbler, Ltd. can be contacted via phone (919) 248-0850, or through Mantey, Monty K. via phone (910) 772-9994.

Contact Information

Primary practice address
6815 Fayetteville Road #102 Durham NC 27713-7081
Fax: (919) 248-0935
Website:
Authorized official contact:
Name: Mantey, Monty K.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 00992 North Carolina

Profile Details

NPI number 1255681797
LBN Legal business name Country Cobbler, Ltd.
DBA Doing business as
Authorized official Mantey, Monty K.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2012
Last updated May 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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