Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Other names
Restore POC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WOODALL (DIRECTOR, CONTRACTING)
(336) 397-0993
Entity
Organization
Contact information
Practice address
715 FAIRGROVE CHURCH RD SE, SUITE 203, CONOVER, NC 28613-9290
(828) 328-5347
(828) 328-4405
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
05
—
1861456691
—
NC
05
—
7704468
—
NC
01
—
LEVE9603-003
LINKIA
NC
Enumeration date
04/17/2006
Last updated
07/23/2019
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