| Specialty | Taxonomy Code | |
|---|---|---|
| * | Customized Equipment | 332BC3200X |
| Athletic Trainer | 2255A2300X | |
| Pedorthist | 224L00000X | |
| Prosthetic/Orthotic Supplier | 335E00000X |
* Indicates primary specialty
| NPI Number | 1639650054 |
| Legal business name LBN |
PINNACLE ORTHOTICS, LLC |
| Authorized official | JARRED GIBSON - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/23/2018 |
| Last updated | 11/07/2019 - About 7 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | 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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