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Mr. John Joseph O Connor JR., CPO
Prosthetist in Winston Salem, North Carolina
NPI 1699775700

John Joseph O Connor JR. is a Prosthetist based in Winston Salem, NC. John Joseph O Connor JR. practices in Winston Salem, NC and has the professional credentials of CPO. The NPI Number for John Joseph O Connor JR. is 1699775700 and holds a License No. PNO695 (North Carolina).

The current practice location address for John Joseph O Connor JR. is 900 S Hawthorne Rd, Winston Salem, NC and can be reached out via phone at 336-724-6871 and via fax at 336-724-6871.

Location: 900 S Hawthorne Rd, Winston Salem, NC, 27103-4417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699775700
Provider Name
John Joseph O Connor JR.
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
900 S Hawthorne Rd, Winston Salem, NC, 27103-4417
Phone Number
336-724-6871
Fax Number
336-724-6871
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0495 B 01 NC BLUE CROSS BLUE SHIELD
7700250 05 NC
institution
Provider Business Practice Location Address Details
Address
900 S Hawthorne Rd
City
Winston Salem
State
North Carolina
Zip
27103-4417
Phone Number
336-724-6871
Fax Number
336-724-6871
person
Provider Business Mailing Address Details
Address
900 S Hawthorne Rd
City
Winston Salem
State
North Carolina
Zip
27103-4417
Phone Number
336-724-6871
Fax Number
336-724-6871
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
PNO695 (North Carolina)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
PNO695 (North Carolina)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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