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EASTERN VA ORTHOTICS & PROSTHETICS INC NPI 1326058058


NPI Information

NPI: 1326058058
Provider Name: EASTERN VA ORTHOTICS & PROSTHETICS, INC
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
13394 CHESAPEAKE PL
CARROLLTON, VA
ZIP 23314
Phone: (757) 850-2835
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EASTERN VA ORTHOTICS & PROSTHETICS, INC is an orthotist in Carrollton, VA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. EASTERN VA ORTHOTICS & PROSTHETICS, INC NPI is 1326058058. The provider is registered as an organization entity type.

The provider's business location address is:

13394 CHESAPEAKE PL
CARROLLTON, VA
ZIP 23314-388
Phone: (757) 850-2835
Fax: (757) 850-3409

The provider's authorized official is Lisa L Crouse .
The authorized official title is Owner/admin and has the following contact phone number (757) 850-2835.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 10/8/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierNo
2222Z00000XOrthotistC12887VIRGINIAYes

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
1073161OTHERVIRGINIABLUE CROSS & BLUE SHIELD
21326058058OTHERVIRGINIAUNITED HEALTHCARE
3009190384MEDICAIDVIRGINIA
41326058058OTHERVIRGINIAHUMANA

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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