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
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Prosthetist | 224P00000X |
| Orthotics/Prosthetics Fitter | 225000000X |
* Indicates primary specialty
| NPI Number | 1639430457 |
| Credentials | BOCP, CFO, CPA |
| Entity | Individual |
| Enumeration date | 06/07/2012 |
| Last updated | 12/17/2021 - About 4 years ago |
| Sole proprietor1 | No |
| Identifiers | n/a |
| 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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