NPI 1063617629 CHARLESTON BRACE CO, LLC LADSON SC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Charleston Brace Co, Llc - NPI: 1063617629

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: CHARLESTON BRACE CO, LLC
NPI Number: 1063617629
Entity Type Code: Organizational (2)
Authorized Official Name: NATHANIEL JACKSON
(OWNER)
Mailing Address: 111 Magnolia St
Walterboro
State: SC US
Postal Code: 294882911
Phone Number: 8435429000
Fax Number: 8435422612
NPI Enumeration Date: 06/15/2007
NPI Last Update Date: 07/20/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 335E00000X
License Number: 015090713
Healthcare Provider Taxonomy:
(Secondary)
Y
State: SC
Taxonomy Type: Suppliers
Taxonomy Classification: Prosthetic/Orthotic Supplier
Taxonomy Specialization:
Taxonomy Definition:
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.


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