Provider Demographics
NPI:1306366752
Name:PROSTHETIC SOLUTIONS INC.
Entity Type:Organization
Organization Name:PROSTHETIC SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:504-500-1349
Mailing Address - Street 1:4000 BIENVILLE ST STE D
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5163
Mailing Address - Country:US
Mailing Address - Phone:504-500-1349
Mailing Address - Fax:
Practice Address - Street 1:12311 ASHLEY DR STE B
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-2950
Practice Address - Country:US
Practice Address - Phone:228-220-4917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier