MRS. IMOGENE W CANTRELL NPI 1568523488

NPI Information

NPI: 1568523488
Provider Name: MRS. IMOGENE W CANTRELL
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
1129 13TH ST
COLUMBUS, GA
ZIP 31901
Phone: (706) 660-8877
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MRS. Imogene W Cantrell is a prosthetic orthotic supplier in Columbus, GA. 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. MRS. Imogene W Cantrell NPI is 1568523488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1129 13TH ST
COLUMBUS, GA
ZIP 31901-248
Phone: (706) 660-8877
Fax: (706) 660-8877

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

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
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

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
1	00650394A	MEDICAID	GEORGIA
2	0990030001	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

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

NPI Synchronization or Removal

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