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Contact Information

DECATUR ORTHOPAEDIC CLINIC, LLC
1107 14TH AVE SE STE 300
DECATUR, AL35601-3368
 Phone: 256-350-0362
 Fax: 256-355-9779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DECATUR ORTHOPAEDIC CLINIC LLC · (Female)

NPI # 1740331347
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2007
Last updated 02/09/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 528600740
  • AL Other 009932533 ALABAMA MEDICAID DME
  • AL Other CH5919 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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