Felicia Allen

Individual provider Active NPI Prosthetics Case Management · Leland, NC

NPI 1760110852 · NPPES record last updated Aug 8, 2022

Key facts

NPI
1760110852
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetics Case Management 1744P3200X
Practice address
9005 Black Chestnut Dr
Leland, NC 28451-9742
Phone
(910) 538-6038
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management
Group: 193400000X SINGLE SPECIALTY GROUP
1744P3200X Yes

Addresses

Primary practice location

9005 Black Chestnut Dr
Leland, NC 28451-9742

Mailing address

9005 Black Chestnut Dr
Leland, NC 28451-9742
Phone (910) 538-6038

Other identifiers

IdentifierTypeStateIssuer
1744P3200XOtherNCTRICARE , BLUE CROS BLUE SHIELDS, CIGNA DPPO
335E00000XOtherNCPROSTHETIC/ORTHOTIC SUPPLIER
335E00000XOtherNCTRICARE BLUR CROSS BLUE SHEILDS

Other providers in Leland, NC

All providers in Leland, NC · Prosthetics Case Management in North Carolina

Sources for this page

Verify at the official NPI Registry.