Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH YOUNG (DIRECTOR OF CONTRACTING)
(336) 397-0991
Entity
Organization
Contact information
Practice address
400 SHADOWLINE DR, SUITE 206, BOONE, NC 28607-5089
(828) 262-5347
(828) 262-5455
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0340W
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/07/2006
Last updated
10/18/2017
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