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JOHN SPROUSE NPI 1043471006


NPI Information

NPI: 1043471006
Provider Name: JOHN SPROUSE

Doing Business As: ADVANCED BIOMECHANICAL SOLUTIONS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1513 MONTAGUE AVENUE EXT
GREENWOOD, SC
ZIP 29649
Phone: (864) 229-3997
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JOHN SPROUSE is a prosthetic orthotic supplier in Greenwood, SC. 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. JOHN SPROUSE NPI is 1043471006. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Biomechanical Solutions.

The provider's business location address is:

1513 MONTAGUE AVENUE EXT
GREENWOOD, SC
ZIP 29649-030
Phone: (864) 229-3997
Fax: (864) 388-9419

The provider's authorized official is John Sprouse .
The authorized official title is Owner and has the following contact phone number (864) 229-3997.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/17/2010.


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
10176040002MEDICARE NSC
20176040001MEDICARE NSCSOUTH CAROLINA
3DM0613MEDICAIDSOUTH 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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