Provider Demographics
NPI:1043588890
Name:INSTEP SOLUTIONS,LLC
Entity Type:Organization
Organization Name:INSTEP SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TULL
Authorized Official - Suffix:
Authorized Official - Credentials:C-PED
Authorized Official - Phone:336-659-6062
Mailing Address - Street 1:1400 MILLGATE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1338
Mailing Address - Country:US
Mailing Address - Phone:336-659-6062
Mailing Address - Fax:336-659-6063
Practice Address - Street 1:1400 MILLGATE DR
Practice Address - Street 2:SUITE A
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1338
Practice Address - Country:US
Practice Address - Phone:336-659-6062
Practice Address - Fax:336-659-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC-PED3362335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6699250001Medicare NSC