Victory Orthotics & Prosthetics Llc

LBN: Victory Orthotics & Prosthetics Llc
Victory Orthotics & Prosthetics Llc is an health care organization with primary practice located at 2333 Knob Creek Rd Ste 14 , Johnson City TN 37604. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Victory Orthotics & Prosthetics Llc can be contacted via phone (423) 461-3320, or through Gardner, Brad via phone (615) 864-8790.

Contact Information

Primary practice address
2333 Knob Creek Rd Ste 14 Johnson City TN 37604
Phone: (423) 461-3320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Brad
Phone: (615) 864-8790

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1457443624
LBN Legal business name Victory Orthotics & Prosthetics Llc
DBA Doing business as
Authorized official Gardner, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 3rd, 2018 - about 8 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 1457443624 NPPES
Virginia MEDICAID 9190601
Virginia MEDICAID 1454184
Virginia Other 4017529

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