Provider Demographics
NPI:1790905610
Name:JAMES P RUBEL
Entity Type:Organization
Organization Name:JAMES P RUBEL
Other - Org Name:ABILITY ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:RUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:828-326-7161
Mailing Address - Street 1:PO BOX 9526
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-9526
Mailing Address - Country:US
Mailing Address - Phone:828-326-7161
Mailing Address - Fax:
Practice Address - Street 1:209 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2313
Practice Address - Country:US
Practice Address - Phone:704-630-6789
Practice Address - Fax:828-326-9391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700567Medicaid
NC7700567Medicaid