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Wva Diabetic Supplies Llc
Prosthetic/Orthotic Supplier in Shinnston, West Virginia
NPI 1215171764

Wva Diabetic Supplies Llc is a Prosthetic/Orthotic Supplier based in Shinnston, WV. Wva Diabetic Supplies Llc practices in Shinnston, WV. The NPI Number for Wva Diabetic Supplies Llc is 1215171764 and holds a License No. 2223-3336 (West Virginia).

The current practice location address for Wva Diabetic Supplies Llc is 409 S Pike St, Shinnston, WV and can be reached out via phone at 304-592-1870 and via fax at 304-592-1890.

Location: 409 S Pike St, Shinnston, WV, 26431-1125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215171764
Provider Name
Wva Diabetic Supplies Llc
Credential
Provider Entity Type
Organization
Address
409 S Pike St, Shinnston, WV, 26431-1125
Phone Number
304-592-1870
Fax Number
304-592-1890
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810015096 05 WV
institution
Provider Business Practice Location Address Details
Address
409 S Pike St
City
Shinnston
State
West Virginia
Zip
26431-1125
Phone Number
304-592-1870
Fax Number
304-592-1890
person
Provider Business Mailing Address Details
Address
409 S Pike St
City
Shinnston
State
West Virginia
Zip
26431-1125
Phone Number
304-592-1870
Fax Number
304-592-1890
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
2223-3336 (West Virginia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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