Healthcare Provider Details

I. General information

NPI: 1619952447
Provider Name (Legal Business Name): PRO-FIT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 3RD AVE S
BIRMINGHAM AL
35233-2514
US

IV. Provider business mailing address

PO BOX 380248
BIRMINGHAM AL
35238-0248
US

V. Phone/Fax

Practice location:
  • Phone: 205-326-0050
  • Fax: 205-324-2226
Mailing address:
  • Phone: 205-326-0050
  • Fax: 205-324-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number489
License Number StateAL

VIII. Authorized Official

Name: MR. WALTER ANDREW HOWELL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 205-991-7494