Dickson Orthotics & Prosthetics

LBN: Dickson Orthotics & Prosthetics
Dickson Orthotics & Prosthetics is an health care organization with primary practice located at 127 Crestview Park Dr Suite 104, Dickson TN 37055-2855. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Dickson Orthotics & Prosthetics can be contacted via phone (615) 740-0177, or through Lara, Fernando via phone (615) 740-0177.

Contact Information

Primary practice address
127 Crestview Park Dr Suite 104 Dickson TN 37055-2855
Fax: (615) 740-1154
Website:
Authorized official contact:
Name: Lara, Fernando CPO

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X CPO02324 Delaware

Profile Details

NPI number 1477822336
LBN Legal business name Dickson Orthotics & Prosthetics
DBA Doing business as
Authorized official Lara, Fernando CPO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated May 7th, 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 1477822336 NPPES
Tennessee Other 4319966 BLUE CROSS BLUE SHIELD

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