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CUSTOM CARBON COMPOSITE CREATIONS

Prosthetic/Orthotic Supplier

An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.

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Contact Information

CUSTOM CARBON COMPOSITE CREATIONS
6490 S MCCARRAN BLVD
SUITE D-38
RENO, NV  89509-6165
 Phone: 775-823-9669
 Fax: 775-823-9931
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

 335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for CUSTOM CARBON COMPOSITE CREATIONS

NPI Number 1427321769
LBN Legal business name CUSTOM CARBON COMPOSITE CREATIONS
Authorized official EDDIE ROGERS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2012
Last updated 02/16/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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