Certified Pedorthic Orthotics

LBN: Certified Pedorthic Orthotics
Certified Pedorthic Orthotics is an health care organization with primary practice located at 1901 Blanding St , Columbia SC 29201-3519. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Certified Pedorthic Orthotics can be contacted via phone (803) 779-0550, or through Cantwell, Joseph via phone (803) 779-0550.

Contact Information

Primary practice address
1901 Blanding St Columbia SC 29201-3519
Phone: (803) 779-0550
Fax: (803) 779-4606
Website:
Map and Directions
Authorized official contact:
Name: Cantwell, Joseph BOC,ABC PROSTHETIST
Phone: (803) 779-0550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 001666 South Carolina

Profile Details

NPI number 1427030550
LBN Legal business name Certified Pedorthic Orthotics
DBA Doing business as
Authorized official Cantwell, Joseph BOC,ABC PROSTHETIST
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1427030550 NPPES
South Carolina MEDICAID DME592

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