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SHOALS ORTHOTICS & PROSTHETICSINC NPI 1508852815


NPI Information

NPI: 1508852815
Provider Name: SHOALS ORTHOTICS & PROSTHETICS,INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
840 FLORENCE BLVD
FLORENCE, AL
ZIP 35630
Phone: (256) 764-8673
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SHOALS ORTHOTICS & PROSTHETICS,INC is a prosthetic orthotic supplier in Florence, AL. 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. SHOALS ORTHOTICS & PROSTHETICS,INC NPI is 1508852815. The provider is registered as an organization entity type.

The provider's business location address is:

840 FLORENCE BLVD
FLORENCE, AL
ZIP 35630-871
Phone: (256) 764-8673
Fax: (256) 764-0872

The provider's authorized official is Stephen A Blackwell .
The authorized official title is President and has the following contact phone number (256) 764-8673.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 1/13/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic Supplier78997ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10071305OTHERALABAMABCBS OF TENNESSEE
20124850001MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3000054615MEDICAIDALABAMA
451054615OTHERALABAMABCBS OF ALABAMA

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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