Alexander Prosthetics & Orthotics, Inc

Organization Active NPI Prosthetic/Orthotic Supplier · Wise, VA

NPI 1801077367 · NPPES record last updated Dec 14, 2007

Key facts

NPI
1801077367
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
ALEXANDER PROSTHETICS & ORTHOTICS, INC
Practice address
716 Spring Ave NE
Wise, VA 24293-5702
Phone
(276) 328-6200
Fax
(423) 343-5654
NPI assigned
Nov 26, 2007
Organization subpart
Yes
Parent organization (as reported)
ALEXANDER PROSTHETICS & ORTHOTICS, INC

Authorized official

Name
Sharon E Williams, CO, BOCO, CPED
Title
Secretary/Treasurer
Phone
(423) 288-8599

National Provider Directory

Part of
Alexander Prosthetics Orthotics Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

716 Spring Ave NE
Wise, VA 24293-5702

Mailing address

716 Spring Ave NE
P. O. Box 3425
Wise, VA 24293-5702
Phone (276) 328-6200

Other identifiers

IdentifierTypeStateIssuer
TN0102OtherVAUNITED HEALTH CARE
90122664MedicaidKY
702010907OtherVACARITEN HEALTH CARE
9190333MedicaidVA
095660OtherVAANTHEM BCBS

Other providers in Wise, VA

All providers in Wise, VA · Prosthetic/Orthotic Supplier in Virginia

Sources for this page

Verify at the official NPI Registry.