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RUBY S BESHEARS NPI 1982689105


NPI Information

NPI: 1982689105
Provider Name: RUBY S BESHEARS

Doing Business As: PENNYRICH BRAS & LINGERIE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3030 GREENHOUSE RD
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 784-0803
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RUBY S BESHEARS 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. RUBY S BESHEARS NPI is 1982689105. The provider is registered as an organization entity type.
The provider Is Doing Business As Pennyrich Bras & Lingerie.

The provider's business location address is:

3030 GREENHOUSE RD
WINSTON SALEM, NC
ZIP 27127-206
Phone: (336) 784-0803

The provider's authorized official is Ruby S Beshears .
The authorized official title is Owner Consultant and has the following contact phone number (336) 784-0803.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 7/11/2008.


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
17701749MEDICAIDNORTH CAROLINA
20437QOTHERNORTH CAROLINABCBS
30250980001MEDICARE OSCAR/CERTIFICATIONNORTH CAROLINA
40250980001MEDICARE PINNORTH CAROLINA
50250980001MEDICARE NSCNORTH 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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