Custom Orthotics Of North Carolina, Llc
LBN: Custom Orthotics Of North Carolina, Llc
Custom Orthotics Of North Carolina, Llc is an health care organization with primary practice located at 4125 Ben Franklin Blvd Suite 180, Durham NC 27704-2167. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty.
Custom Orthotics Of North Carolina, Llc can be contacted via phone (919) 479-5990, or through Deal, Stephen Bradley via phone (919) 479-5990.
Contact Information
Primary practice address
4125 Ben Franklin Blvd Suite 180
Durham NC 27704-2167
Phone: (919) 479-5990
Fax: (919) 479-8782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | C18399 | North Carolina |
Profile Details
| NPI number | 1932127396 |
|---|---|
| LBN Legal business name | Custom Orthotics Of North Carolina, Llc |
| DBA Doing business as | |
| Authorized official | Deal, Stephen Bradley BO, CO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932127396 | NPPES |
| North Carolina | Other | 046P3 | BCBS PROVIDER NUMBER |
| North Carolina | MEDICAID | 7704266 | BCBS PROVIDER NUMBER |
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