Shaun O Dolen, C.P.
Individual provider Active NPI Prosthetist · Fletcher, NC
NPI 1710015466 · NPPES record last updated Nov 20, 2007
Key facts
- NPI
- 1710015466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- Practice address
- 3845 Hendersonville Rd
Fletcher, NC 28732-8241 - Phone
- (828) 684-1644
- Fax
- (828) 684-0648
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyland Prosthetics & Orthotics, Inc | Prosthetist | Past | Accepting new patients |
| Skyland Prosthetics & Orthotics Inc | Prosthetist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | NC | ||
| Prosthetist | 224P00000X | Yes |
Addresses
Primary practice location
3845 Hendersonville Rd
Fletcher, NC 28732-8241
Mailing address
PO Box 428
Skyland, NC 28776-0428
Phone (828) 684-1644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795114 | Medicaid | NC |
Other providers in Fletcher, NC
- Comprehensive Pain Consultants of the Carolinas, PLLC
- Susan A. Crews
- Lawrence Cull Jr.
- Olivia Davis
- Alexandra Demidova
- Donald Brown Strength Coaching and Physical Therapy LLC
- Dr Mark D Scheiderich DMD PA
- Duffology Behavioral Insights LLC
- Abby R Duffy
- Easter Seals Ucp North Carolina & Virginia, Inc.
All providers in Fletcher, NC · Prosthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.