Provider Demographics
NPI:1952485617
Name:INNOVATIVE JOINT TECHNOLOGIES
Entity Type:Organization
Organization Name:INNOVATIVE JOINT TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:757-892-5302
Mailing Address - Street 1:420 N CENTER DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4007
Mailing Address - Country:US
Mailing Address - Phone:757-892-5302
Mailing Address - Fax:757-892-5304
Practice Address - Street 1:420 N CENTER DR
Practice Address - Street 2:SUITE 115
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4007
Practice Address - Country:US
Practice Address - Phone:757-892-5302
Practice Address - Fax:757-892-5304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier