Provider Demographics
NPI:1275644411
Name:HEALYN, INC.
Entity Type:Organization
Organization Name:HEALYN, INC.
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-725-3366
Mailing Address - Street 1:302 S STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1856
Mailing Address - Country:US
Mailing Address - Phone:336-725-3366
Mailing Address - Fax:336-725-3311
Practice Address - Street 1:302 S STRATFORD RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1856
Practice Address - Country:US
Practice Address - Phone:336-725-3366
Practice Address - Fax:336-725-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5560670001Medicare ID - Type Unspecified