Tierney, Cynthia Vestal
Tierney, Cynthia Vestal is an sole proprietor health care provider with primary practice located at Tierney Orthotics And Prosthetics Inc 1345 Westgate Center Dr, Ste B, Winston Salem NC 27103. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Tierney, Cynthia Vestal can be contacted via phone (336) 546-7165.Contact Information
Primary practice address
Tierney Orthotics And Prosthetics Inc 1345 Westgate Center Dr, Ste B
Winston Salem NC 27103
Phone: (336) 546-7165
Fax: (866) 403-2483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X |
Profile Details
| NPI number | 1912289216 |
|---|---|
| LBN Legal business name | Tierney, Cynthia Vestal |
| Credentials | BOCO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2011 |
| Last updated | Feb 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912289216 | NPPES |
| North Carolina | MEDICAID | 7795524 |
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