Custom Prosthetic & Orthotic

LBN: Custom Prosthetic & Orthotic
Custom Prosthetic & Orthotic is an health care organization with primary practice located at 801 E Northside Dr Suite - D, Clinton MS 39056-3663. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Custom Prosthetic & Orthotic can be contacted via phone (601) 906-1024, or through Owens, Johnnie Mae via phone (601) 906-1024.

Contact Information

Primary practice address
801 E Northside Dr Suite - D Clinton MS 39056-3663
Phone: (601) 906-1024
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owens, Johnnie Mae CHILD CARE
Phone: (601) 906-1024

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Mississippi

Profile Details

NPI number 1710147301
LBN Legal business name Custom Prosthetic & Orthotic
DBA Doing business as
Authorized official Owens, Johnnie Mae CHILD CARE
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Mar 15th, 2012 - about 13 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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