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COASTLINE MEDICAL INC. NPI 1902176563


NPI Information

NPI: 1902176563
Provider Name: COASTLINE MEDICAL, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 49D2208022

Address:
509 VIKING DR STE E
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 275-8050
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COASTLINE MEDICAL, INC. is a prosthetic orthotic supplier in Virginia Beach, 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. COASTLINE MEDICAL, INC. NPI is 1902176563. The provider is registered as an organization entity type.

The provider's business location address is:

509 VIKING DR STE E
VIRGINIA BEACH, VA
ZIP 23452-323
Phone: (757) 275-8050
Fax: (888) 600-5328

The provider's authorized official is James Michael Ray .
The authorized official title is President and has the following contact phone number (757) 275-8050.

The CLIA number assigned to this NPI record is 49D2208022 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 11/29/2023.


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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