William K Abbott, CERTIFIED PROSTHETIS
Individual provider Active NPI Orthotic Fitter · Jefferson City, MO
NPI 1831133396 · NPPES record last updated Nov 8, 2007
Key facts
- NPI
- 1831133396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthotic Fitter 225000000X
- License
- CERTIFIED (MO)
- Practice address
- 1735 Southwest Blvd
Jefferson City, MO 65109-2435 - Phone
- (573) 635-0006
- Fax
- (573) 635-2228
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERTIFIED | MO | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia O & P Labs | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CERTIFIED | MO | Yes |
Addresses
Primary practice location
1735 Southwest Blvd
Jefferson City, MO 65109-2435
Mailing address
1735 Southwest Blvd
Jefferson City, MO 65109-2435
Phone (573) 635-0006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122475 | Other | MO | BCBS PROVIDER# |
| 433956 | Other | MO | HEALTHLINK PROVIDER# |
Other providers in Jefferson City, MO
- 360 Wellness LLC
- Makenzie Lynn Abbott
- Marissa Rae Abbott
- Amber Lynn Abeln
- Kathy Abeln
- Access for Interpretations &Translations of Hispanic Service
- Osvaldo Acosta-Rodriguez
- Active Rehab LLC
All providers in Jefferson City, MO · Orthotic Fitter in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 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.