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COASTAL PROSTHETICS AND ORTHOTICS LLC NPI 1164990040


NPI Information

NPI: 1164990040
Provider Name: COASTAL PROSTHETICS AND ORTHOTICS, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
433 NETWORK STA
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 892-5300
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COASTAL PROSTHETICS AND ORTHOTICS, LLC is a prosthetic orthotic supplier in Chesapeake, VA. 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. COASTAL PROSTHETICS AND ORTHOTICS, LLC NPI is 1164990040. The provider is registered as an organization entity type.

The provider's business location address is:

433 NETWORK STA
CHESAPEAKE, VA
ZIP 23320-851
Phone: (757) 892-5300
Fax: (757) 892-5303

The provider's authorized official is Karen Vaughn .
The authorized official title is Administrator and has the following contact phone number (757) 828-5112.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 7/2/2019.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10049190414MEDICAIDVIRGINIA
2009190414MEDICAIDVIRGINIA

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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