Provider Demographics
NPI:1265830335
Name:A PERFECT FIT FOR YOU INC
Entity Type:Organization
Organization Name:A PERFECT FIT FOR YOU INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-622-4506
Mailing Address - Street 1:2900 ARENDELL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3318
Mailing Address - Country:US
Mailing Address - Phone:252-622-4506
Mailing Address - Fax:252-622-4512
Practice Address - Street 1:2900 ARENDELL ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3318
Practice Address - Country:US
Practice Address - Phone:252-622-4506
Practice Address - Fax:252-622-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS28948332B00000X, 332BC3200X, 332BD1200X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7289360001OtherPALMETTO GBA
NC1265830335Medicaid
NC7289360001Medicare NSC
NC7289360001OtherPALMETTO GBA