Active NPI
McGlothlin Wig Company
- Prosthetic/Orthotic Supplier
- Bristol, VA
National Provider Identifier
1467607606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MCGLOTHLIN WIG COMPANY
- Practice address
- 525 State St
Bristol, VA 24201-4314 - Phone
- (276) 669-1650
- Fax
- (276) 466-1787
- NPI assigned
- Dec 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R McGlothlin
- Title
- Owner
- Phone
- (276) 669-1650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
525 State St
Bristol, VA 24201-4314
Mailing address
525 State St
Bristol, VA 24201-4314
Phone (276) 669-1650
National Provider Directory
National Provider DirectoryLocations
525 State St
Bristol, VA 24201
Phone (276) 669-1650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1467607606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 STATE ST",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242014314",
"telephone_number": "276-669-1650",
"fax_number": "276-466-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 STATE ST",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242014314",
"telephone_number": "276-669-1650",
"fax_number": "276-466-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGLOTHLIN WIG COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "MCGLOTHLIN",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-669-1650"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.