Organization
NUNNERY ORTHOTIC & PROSTHETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. NUNNERY CPO (OWNER/ORTHOTIST PROSTHETIST)
(401) 294-4210
Entity
Organization
Contact information
Practice address
7408 POST RD, NORTH KINGSTOWN, RI 02852-3217
(401) 294-4210
(401) 294-3104
Mailing address
7408 POST RD, NORTH KINGSTOWN, RI 02852-3217
(401) 294-4210
(401) 294-3104
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO0004
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22514-8
BLUE CROSS BLUE SHIELD
RI
01
—
401254
BLUECHIP
RI
05
—
5580001
—
RI
Enumeration date
07/22/2006
Last updated
01/17/2012
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