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ORTHO PROS EXPRESS INC NPI 1790747244


NPI Information

NPI: 1790747244
Provider Name: ORTHO PROS EXPRESS INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
9307 MONROE RD STE M
CHARLOTTE, NC
ZIP 28270
Phone: (704) 921-2286
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ORTHO PROS EXPRESS INC is a prosthetic orthotic supplier in Charlotte, NC. 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. ORTHO PROS EXPRESS INC NPI is 1790747244. The provider is registered as an organization entity type.

The provider's business location address is:

9307 MONROE RD STE M
CHARLOTTE, NC
ZIP 28270-485
Phone: (704) 921-2286
Fax: (704) 831-8300

The provider's authorized official is Angela R Mullis .
The authorized official title is Manager and has the following contact phone number (704) 749-6291.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/11/2022.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/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
17701803MEDICAIDNORTH CAROLINA
2DME958MEDICAIDSOUTH CAROLINA
39113738MEDICAIDVIRGINIA

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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