; NPI #1538279955

Contact Information

JOEL P DWYER, CPO

45 WHITE CAP LANE
WEST BARNSTABLE, MA 02668

Phone: 508-362-8329
Fax: 508-362-8329
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for

NPI # 1538279955

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 08/30/2006

Last updated 12/19/2007 - About 18 years ago

Identifiers

MA	Medicaid	1523538
MA	Other	355754	BCBS
MA	Other	700149	HARVARD PILGRIM HEALTH
MA	Other	759527	TUFTS

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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