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 | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1558931691 |
| LBN Legal business name | COEUR D'ALENE WIGS LLC |
| Authorized official | JENNIFER LINDLEY - (OWNER/PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/30/2021 |
| Last updated | 06/30/2021 - About 5 years ago |
| Identifiers | n/a |
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