Healthcare Provider Details

I. General information

NPI: 1104717966
Provider Name (Legal Business Name): CHRIS A STOKESBARY CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 TOMLYNN ST
RICHMOND VA
23230-3317
US

IV. Provider business mailing address

2120 TOMLYNN ST
RICHMOND VA
23230-3317
US

V. Phone/Fax

Practice location:
  • Phone: 804-353-9077
  • Fax: 804-353-9159
Mailing address:
  • Phone: 804-353-9077
  • Fax: 804-353-9159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO04499
License Number State
# 2
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO04499
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: