# JEREMY MIGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801283569
- **Gender:** Man
- **Credential:** C.P.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | CO005502 | NC | — |
| 224P00000X | Prosthetist | CPO03757 | NC | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1285720482 | — | NC |