National Provider Identifier Database

RANDY L YASSEM, CP CERT PROSTHETIST – NPI #1053410845
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

RANDY L YASSEM, CP CERT PROSTHETIST
234 OWEN DRIVE
TOTAL REHAB OTHOTICS & PROSTHETICS INC
FAYETTEVILLE, NC28304
Phone: 910-323-9016
Fax: 910-486-8712
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for RANDY L YASSEM

NPI Number 1053410845
Credentials CP CERT PROSTHETIST
Entity Individual
Enumeration date 09/21/2006
Last updated 04/26/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NC Medicaid: 7795106
Hospital affiliation n/a

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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