Crockett Prosthetics & Orthotics

LBN: Akbk
Crockett Prosthetics & Orthotics is an health care organization with primary practice located at 10932 Murdock Dr Suite 105A, Knoxville TN 37932-3239. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Akbk can be contacted via phone (865) 675-2873, or through Kosloski, Peter Paul via phone (865) 688-2626.

Contact Information

Primary practice address
10932 Murdock Dr Suite 105A Knoxville TN 37932-3239
Phone: (865) 675-2873
Fax: (865) 675-2879
Website:
Map and Directions
Authorized official contact:
Name: Kosloski, Peter Paul CPO,FAAOP
Phone: (865) 688-2626

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1902993124
LBN Legal business name Akbk
DBA Doing business as Crockett Prosthetics & Orthotics
Authorized official Kosloski, Peter Paul CPO,FAAOP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Mar 20th, 2012 - about 14 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 1902993124 NPPES
Tennessee MEDICAID 3555750
Tennessee Other 86519

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