<Unavail>

LBN: Adaptive Limb & Brace, Llc
<Unavail> is an health care organization with primary practice located at 1033 Wappoo Rd Suite E, Charleston SC 29407-6087. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Adaptive Limb & Brace, Llc can be contacted via phone (843) 225-0809, or through Gasperson, Winford Graves via phone (843) 225-0809.

Contact Information

Primary practice address
1033 Wappoo Rd Suite E Charleston SC 29407-6087
Phone: (843) 225-0809
Fax: (843) 278-9185
Website:
Map and Directions
Authorized official contact:
Name: Gasperson, Winford Graves CPO
Phone: (843) 225-0809

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CPO1815

Profile Details

NPI number 1770774895
LBN Legal business name Adaptive Limb & Brace, Llc
DBA Doing business as <Unavail>
Authorized official Gasperson, Winford Graves CPO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 28th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770774895 NPPES
South Carolina MEDICAID DE3028

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