Impact Orthopedics

LBN: Impact Prosthetic Solutions, Llc
Impact Orthopedics is an health care organization with primary practice located at 3210 Prosperity Church Rd Ste 101 , Charlotte NC 28269-8194. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Impact Prosthetic Solutions, Llc can be contacted via phone (704) 510-2204, or through Phronebarger, Rico Darryl via phone (704) 510-2204.

Contact Information

Primary practice address
3210 Prosperity Church Rd Ste 101 Charlotte NC 28269-8194
Phone: (704) 510-2204
Fax: (704) 510-2218
Website:
Map and Directions
Authorized official contact:
Name: Phronebarger, Rico Darryl
Phone: (704) 510-2204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1255519799
LBN Legal business name Impact Prosthetic Solutions, Llc
DBA Doing business as Impact Orthopedics
Authorized official Phronebarger, Rico Darryl
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Jun 11th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255519799 NPPES
North Carolina MEDICAID 7704797

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