institution
Boll Medical, Inc
Prosthetic/Orthotic Supplier in Charleston, West Virginia
NPI 1669463105

Boll Medical, Inc is a Prosthetic/Orthotic Supplier based in Charleston, WV. Boll Medical, Inc practices in Charleston, WV. The NPI Number for Boll Medical, Inc is 1669463105 and holds a License No. 279779 (West Virginia).

The current practice location address for Boll Medical, Inc is 1223 Washington St E, Charleston, WV and can be reached out via phone at 304-345-2944 and via fax at 304-345-2957.

Location: 1223 Washington St E, Charleston, WV, 25339-1810
institution
Provider Profile Details
NPI Number
1669463105
Provider Name
Boll Medical, Inc
Credential
Provider Entity Type
Organization
Address
1223 Washington St E, Charleston, WV, 25339-1810
Phone Number
304-345-2944
Fax Number
304-345-2957
Provider Enumeration Date
11/03/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0147067000 05 WV
001705317 01 WV BLUE CROSS BLUE SHIELD PR
041242100 01 WV FEDERAL BLACK LUNG
institution
Provider Business Practice Location Address Details
Address
1223 Washington St E
City
State
Zip
25301-1814
Phone Number
304-345-2944
Fax Number
304-345-2957
person
Provider Business Mailing Address Details
Address
1223 Washington St E
City
State
Zip
25301-1814
Phone Number
304-345-2944
Fax Number
304-345-2957
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
279779 (West Virginia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
279779 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
279779 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
279779 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
279779 (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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