Healthcare Provider Details

I. General information

NPI: 1689949737
Provider Name (Legal Business Name): SOLUTIONS ORTHOCARE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date: 04/24/2012
Reactivation Date: 05/17/2012

III. Provider practice location address

7001 SAINT ANDREWS RD SUITE A-17
COLUMBIA SC
29212-1137
US

IV. Provider business mailing address

7001 SAINT ANDREWS RD SUITE A-17
COLUMBIA SC
29212-1137
US

V. Phone/Fax

Practice location:
  • Phone: 803-781-1230
  • Fax: 803-781-1960
Mailing address:
  • Phone: 803-781-1269
  • Fax: 866-771-6123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN W OWEN JR.
Title or Position: OWNER/CHIEF CLINICIAN
Credential: BOCPD, CDME
Phone: 803-781-1269