Dynamic Prosthetic & Orthotic

LBN: Dynamic Prosthetic & Orthotic
Dynamic Prosthetic & Orthotic is an health care organization with primary practice located at 2700 Westside Dr Nw Suite 306, Cleveland TN 37312-3699. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Dynamic Prosthetic & Orthotic can be contacted via phone (423) 478-5093, or through Smith, Amy Rooks via phone (423) 622-2000.

Contact Information

Primary practice address
2700 Westside Dr Nw Suite 306 Cleveland TN 37312-3699
Phone: (423) 478-5093
Fax: (423) 622-2400
Website:
Map and Directions
Authorized official contact:
Name: Smith, Amy Rooks
Phone: (423) 622-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1558545418
LBN Legal business name Dynamic Prosthetic & Orthotic
DBA Doing business as
Authorized official Smith, Amy Rooks
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558545418 NPPES
Tennessee Other 4033710 BLUECARE
Tennessee MEDICAID 1454227 BLUECARE

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