NPI Code Details Logo

NPI 1336850189

NPI 1336850189 : SILVER RING SPLINT CO : CHARLOTTESVILLE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336850189
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SILVER RING SPLINT CO 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2022
-----------------------------------------------------
    Last Update Date     |    05/08/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1140 E MARKET ST 
-----------------------------------------------------
    City                 |    CHARLOTTESVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22902-5351
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-971-4052
-----------------------------------------------------
    Fax                  |    434-971-8828
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 2856 
-----------------------------------------------------
    City                 |    CHARLOTTESVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22902-2856
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-971-4052
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP, GM, DESIGNER
-----------------------------------------------------
    Name                 |     JESSE  GARRIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    434-971-4052
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    335E00000X
-----------------------------------------------------
    Taxonomy Name        |    Prosthetic/Orthotic Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.