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ANDERSON PROSTHETICS & ORTHOTICS LLC NPI 1285890574


NPI Information

NPI: 1285890574
Provider Name: ANDERSON PROSTHETICS & ORTHOTICS LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 42D0963644

Address:
440 ROPER MT RD
SUITE G-2
GREENVILLE, SC
ZIP 29615
Phone: (864) 676-0029
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ANDERSON PROSTHETICS & ORTHOTICS LLC is a prosthetic orthotic supplier in Greenville, 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. ANDERSON PROSTHETICS & ORTHOTICS LLC NPI is 1285890574. The provider is registered as an organization entity type.

The provider's business location address is:

440 ROPER MT RD
SUITE G-2
GREENVILLE, SC
ZIP 29615-242
Phone: (864) 676-0029
Fax: (864) 676-0039

The provider's authorized official is Michael Corcoran .
The authorized official title is President/ Cpo and has the following contact phone number (301) 585-5347.

The CLIA number assigned to this NPI record is 42D0963644 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 3/30/2021.


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 SupplierN/ASOUTH CAROLINAYes

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: 11/14/2023

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