Organization
ADAPTIVE TECHNOLOGIES, LLC
Active
Parent organization
BULOW HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BULOW HOLDINGS, LLC
Authorized official
AARON KRATOHVIL (CONTROLLER)
(615) 550-8760
Entity
Organization
Contact information
Practice address
2704 WOOTEN BLVD SW, WILSON, NC 27893
(252) 291-5858
(252) 291-5542
Mailing address
102 WOODMONT BLVD., SUITE 120, NASHVILLE, TN 37205
(615) 550-8774
(615) 454-5352
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414L
BLUE CROSS BLUE SHIELD
NC
05
—
7702039
—
NC
05
—
7704336
—
NC
05
—
7795002
—
NC
05
—
7795074
—
NC
05
—
7795129
—
NC
05
—
7795148
—
NC
05
—
7795214
—
NC
05
—
7795259
—
NC
05
—
7795286
—
NC
05
—
7795310
—
NC
Enumeration date
10/03/2006
Last updated
10/10/2017
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