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WOLFCHASE LIMB & BRACE NPI 1437497377


NPI Information

NPI: 1437497377
Provider Name: WOLFCHASE LIMB & BRACE
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 44D1015497

Address:
367 VANN DR
SUITE B
JACKSON, TN
ZIP 38305
Phone: (731) 660-5900
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WOLFCHASE LIMB & BRACE is a prosthetic orthotic supplier in Jackson, TN. 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. WOLFCHASE LIMB & BRACE NPI is 1437497377. The provider is registered as an organization entity type.

The provider's business location address is:

367 VANN DR
SUITE B
JACKSON, TN
ZIP 38305-038
Phone: (731) 660-5900
Fax: (731) 660-5050

The provider's authorized official is Larry J Butler .
The authorized official title is President and has the following contact phone number (901) 507-7821.

The CLIA number assigned to this NPI record is 44D1015497 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/28/2013 and was last updated on 9/21/2023.


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 SupplierCO003654TENNESSEEYes

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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