Provider Demographics
NPI:1689949737
Name:SOLUTIONS ORTHOCARE GROUP, LLC
Entity Type:Organization
Organization Name:SOLUTIONS ORTHOCARE GROUP, LLC
Other - Org Name:FOOT SOLUTIONS OF COLUMBIA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CHIEF CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:BOCPD, CDME
Authorized Official - Phone:803-781-1269
Mailing Address - Street 1:7001 SAINT ANDREWS RD
Mailing Address - Street 2:SUITE A-17
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-1137
Mailing Address - Country:US
Mailing Address - Phone:803-781-1269
Mailing Address - Fax:866-771-6123
Practice Address - Street 1:7001 SAINT ANDREWS RD
Practice Address - Street 2:SUITE A-17
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1137
Practice Address - Country:US
Practice Address - Phone:803-781-1230
Practice Address - Fax:803-781-1960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLUTIONS ORTHOCARE GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-21
Last Update Date:2020-06-18
Deactivation Date:2012-04-24
Deactivation Code:
Reactivation Date:2012-05-17
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier