Provider Demographics
NPI:1831196179
Name:DR. JAMES B. PRICE JR.,LLC
Entity type:Organization
Organization Name:DR. JAMES B. PRICE JR.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, CPO
Authorized Official - Phone:434-845-2272
Mailing Address - Street 1:PO BOX 2414
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-0414
Mailing Address - Country:US
Mailing Address - Phone:434-845-2272
Mailing Address - Fax:434-845-2273
Practice Address - Street 1:1947 THOMSON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1008
Practice Address - Country:US
Practice Address - Phone:434-845-2272
Practice Address - Fax:434-845-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA91-1802-1Medicaid
VA4760010001Medicare NSC