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SNELL PROSTHETIC & ORTHOTIC LABORATORY NPI 1245575570


NPI Information

NPI: 1245575570
Provider Name: SNELL PROSTHETIC & ORTHOTIC LABORATORY
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2915 DAVE WARD DR STE 11
CONWAY, AR
ZIP 72034
Phone: (501) 548-6288
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SNELL PROSTHETIC & ORTHOTIC LABORATORY is a prosthetic orthotic supplier in Conway, AR. 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. SNELL PROSTHETIC & ORTHOTIC LABORATORY NPI is 1245575570. The provider is registered as an organization entity type.

The provider's business location address is:

2915 DAVE WARD DR STE 11
CONWAY, AR
ZIP 72034-375
Phone: (501) 548-6288
Fax: (501) 513-1890

The provider's authorized official is Brant E. Snell .
The authorized official title is Coo and has the following contact phone number (501) 664-2624.

The enumeration date for this NPI number is 11/27/2012 and was last updated on 1/4/2024.


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
1335E00000XProsthetic/Orthotic SupplierARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1299159716MEDICAIDARKANSAS

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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