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 |
| Athletic Trainer | 2255A2300X | |
| Orthotist | 222Z00000X |
* Indicates primary specialty
| NPI Number | 1902932668 |
| Credentials | MS, CPO |
| Entity | Individual |
| Enumeration date | 02/26/2007 |
| Last updated | 01/12/2023 - About 3 years ago |
| Sole proprietor1 | No |
| Identifiers |
|
| 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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