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LEVEL FOUR ORTHOTICS & PROSTHETICS INC. NPI 1902801244


NPI Information

NPI: 1902801244
Provider Name: LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.

Doing Business As: RESTORE POC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1673 WESTBROOK PLAZA DR STE 230
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-2425
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LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. is a prosthetic orthotic supplier in Winston Salem, 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. LEVEL FOUR ORTHOTICS & PROSTHETICS, INC. NPI is 1902801244. The provider is registered as an organization entity type.
The provider Is Doing Business As Restore Poc.

The provider's business location address is:

1673 WESTBROOK PLAZA DR STE 230
WINSTON SALEM, NC
ZIP 27103-068
Phone: (336) 765-2425
Fax: (336) 765-8370

The provider's authorized official is Janet Woodall .
The authorized official title is Director, Contracting and has the following contact phone number (336) 397-0993.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 5/15/2020.


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 SupplierNANORTH CAROLINAYes

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
1VA010052734MEDICAIDVIRGINIA
20340WOTHERNORTH CAROLINABCBS PROVIDER NUMBER
31902801244MEDICAIDNORTH CAROLINA
487738OTHERMULTIPLAN
5LEVE9603-000OTHERNORTH CAROLINALINKIA
67703969MEDICAIDNORTH CAROLINA

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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