Cameo Bra Shop
LBN: Helen Gordon
Cameo Bra Shop is an health care organization with primary practice located at 3578 Heathrow Dr , Winston Salem NC 27127-4674. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Helen Gordon can be contacted via phone (336) 788-3052, or through Gordon, Helen D via phone (336) 788-3052.
Contact Information
Primary practice address
3578 Heathrow Dr
Winston Salem NC 27127-4674
Phone: (336) 788-3052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1477536449 |
|---|---|
| LBN Legal business name | Helen Gordon |
| DBA Doing business as | Cameo Bra Shop |
| Authorized official | Gordon, Helen D MEDICARE PROVIDER DM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 10th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477536449 | NPPES |
| North Carolina | Other | 0474C | BCBS NC |
| North Carolina | Other | 2404 | BCBS NC |
| North Carolina | MEDICAID | 7701509 | BCBS NC |
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