Crockett Prosthetics And Orthotics is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Maryville, Tennessee. It is situated at 314 Home Ave, Maryville and its contact number is 865-984-2580. The authorized person of Crockett Prosthetics And Orthotics is Mr. Peter Paul Kosloski
who is Owner of the store and his/her contact number is 865-675-2873. Primary license number for Crockett Prosthetics And Orthotics is PRO0000000027 in Tennessee. Crockett Prosthetics And Orthotics is 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.
Complete Center Profile:
Crockett Prosthetics And Orthotics Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Peter Paul Kosloski
Position:
Owner
Contact Number:
865-675-2873
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Crockett Prosthetics And Orthotics center are as mentioned below.
NPI Number:
1184951626
NPI Enumeration Date:
04 Nov, 2009
NPI Last Update On:
20 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crockett Prosthetics And Orthotics are as mentioned below.
Specialization
License Number
State
Status
PRO0000000027
Tennessee
Primary
ORT0000000031
Tennessee
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4255379
Other
Tennessee
Blue Cross Blue Sheild
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Crockett Prosthetics And Orthotics 4503 Walker Blvd, Knoxville, Tennessee
Zip:
37917-1526
Phone Number:
865-688-2626
Fax Number:
865-688-3647
Patients can reach Crockett Prosthetics And Orthotics at 314 Home Ave, Maryville, Tennessee or can call to book an appointment on 865-984-2580. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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