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CROSSROADS ORTHOTICS AND PROSTHETICS LLC NPI 1164892139


NPI Information

NPI: 1164892139
Provider Name: CROSSROADS ORTHOTICS AND PROSTHETICS LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1137 VAN VOORHIS RD
SUITE 15
MORGANTOWN, WV
ZIP 26505
Phone: (304) 241-4094
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CROSSROADS ORTHOTICS AND PROSTHETICS LLC is a prosthetic orthotic supplier in Morgantown, WV. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CROSSROADS ORTHOTICS AND PROSTHETICS LLC NPI is 1164892139. The provider is registered as an organization entity type.

The provider's business location address is:

1137 VAN VOORHIS RD
SUITE 15
MORGANTOWN, WV
ZIP 26505-453
Phone: (304) 241-4094

The provider's authorized official is Thomas Pacak .
The authorized official title is Owner/clinical Director and has the following contact phone number (304) 241-4094.

The enumeration date for this NPI number is 10/2/2015 and was last updated on 10/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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