Organization
ALEXANDER PROSTHETICS & ORTHOTICS INC
Active
Parent organization
ALEXANDER PROSTHETICS & ORTHOTICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXANDER PROSTHETICS & ORTHOTICS INC
Authorized official
SHARON E WILLIAMS CO, BOCO, CPED (SECRETARY/TREASURER)
(423) 288-8599
Entity
Organization
Contact information
Practice address
1604 LAMONS LN, JOHNSON CITY, TN 37604-8224
(423) 283-9744
(423) 283-9744
Mailing address
1604 LAMONS LN, JOHNSON CITY, TN 37604-8224
(423) 283-9744
(423) 283-9744
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452533
—
TN
01
—
702010907
CARITEN HEALTH CARE
TN
01
—
TN0103
UNITED HEALTH CARE
TN
Enumeration date
11/26/2007
Last updated
08/06/2008
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