Healthcare Provider Details

I. General information

NPI: 1083268197
Provider Name (Legal Business Name): VIRGINIA PROSTHETICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 MIDLOTHIAN TPKE STE 116
NORTH CHESTERFIELD VA
23235-4766
US

IV. Provider business mailing address

4338 WILLIAMSON RD NW
ROANOKE VA
24012-2893
US

V. Phone/Fax

Practice location:
  • Phone: 888-366-8287
  • Fax:
Mailing address:
  • Phone: 540-366-8287
  • Fax: 352-872-5433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES DOUGLAS CALL
Title or Position: PRESIDENT
Credential:
Phone: 540-366-8287