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SOUNDSIDE ORTHOTICS & PROSTHETICS LLC NPI 1184369761


NPI Information

NPI: 1184369761
Provider Name: SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC

Former Legal Business Name: COASTAL PROSTHETICS & ORTHOTICS, LLC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2501 WAYNE MEMORIAL DR STE A
GOLDSBORO, NC
ZIP 27534
Phone: (919) 778-8844
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SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC is a prosthetic orthotic supplier in Goldsboro, 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. SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC NPI is 1184369761. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Coastal Prosthetics & Orthotics, Llc.

The provider's business location address is:

2501 WAYNE MEMORIAL DR STE A
GOLDSBORO, NC
ZIP 27534-436
Phone: (919) 778-8844
Fax: (252) 400-1266

The provider's authorized official is Joseph Huntsman .
The authorized official title is Predident and has the following contact phone number (423) 736-7976.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 11/11/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/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: 5/5/2024

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