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
716 SPRING AVE NE, WISE, VA 24293-5702
(276) 328-6200
(423) 343-5654
Mailing address
716 SPRING AVE NE, P. O. BOX 3425, WISE, VA 24293-5702
(276) 328-6200
(423) 343-5654
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095660
ANTHEM BCBS
VA
01
—
702010907
CARITEN HEALTH CARE
VA
05
—
90122664
—
KY
05
—
9190333
—
VA
01
—
TN0102
UNITED HEALTH CARE
VA
Enumeration date
11/26/2007
Last updated
12/14/2007
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