Graybeal Orthopedic, Llc, NPI 1265452650
Prosthetic/Orthotic Supplier in Johnson City, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1265452650 |
| NPI Entity Type | Organization |
| Provider Name |
Graybeal Orthopedic, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 107 E Myrtle Ave, Johnson City, TN, US |
| Provider Mailing Address | 107 E Myrtle Ave, Johnson City, TN, US, 376014631 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. CPO Adam Fann |
| Official Position | OWNER |
| Phone | 423-975-9884 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Prosthetic/Orthotic Supplier |
| Classification | |
| Group | |
| Description | An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1452173 | TN | MEDICAID | 05 |
| 003035088 | TN | BCBS OF TN | 01 |
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