Organization
ENHANCED FITTINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBA NELSON (OWNER / CERTIFIED FITTER)
(865) 882-8182
Entity
Organization
Contact information
Practice address
611 CARTER AVE, HARRIMAN, TN 37748-2414
(865) 882-8182
(865) 882-8182
Mailing address
611 CARTER AVE, HARRIMAN, TN 37748-2414
(865) 882-8182
(865) 882-8182
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104268
BCBS PROVIDER NUMBER
TN
01
—
611627000
DEEOIC PROVIDER ID
TN
Enumeration date
10/06/2006
Last updated
07/22/2008
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