Healthcare Provider Details

I. General information

NPI: 1043482755
Provider Name (Legal Business Name): RICK AIKEN CFO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 04/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 NORTH PAGE RD.
PINEHURST NC
28374
US

IV. Provider business mailing address

PO BOX 4754
PINEHURST NC
28374
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-2828
  • Fax: 910-295-2996
Mailing address:
  • Phone: 910-295-2828
  • Fax: 910-295-2996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: