Provider Demographics
NPI:1124370762
Name:HANGER PROSTHETICS & ORTHOTICS EAST, INC.
Entity Type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS EAST, INC.
Other - Org Name:CROCKETT PROSTHETICS & ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:4503 WALKER BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-1526
Mailing Address - Country:US
Mailing Address - Phone:865-688-2626
Mailing Address - Fax:865-688-3647
Practice Address - Street 1:4503 WALKER BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-1526
Practice Address - Country:US
Practice Address - Phone:865-688-2626
Practice Address - Fax:865-688-3647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies