MEDICARE: ALPHA PROSTHETICS AND ORTHOTICS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	S10218002	VA

General Provider Information

NPI Number	:	1295031698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA PROSTHETICS AND ORTHOTICS, PLLC

Provider Business Mailing Address
First Line	:	3936 SPRINGFIELD RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4119
Country	:	US
Telephone Number	:	804-934-9340
Fax Number	:	804-934-9381

Provider Business Practice Location Address
First Line	:	3936 SPRINGFIELD RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4119
Country	:	US
Telephone Number	:	804-934-9340
Fax Number	:	804-934-9381

Authorized Official
Title or Position	:	SURGEON
Name	:	DAVID SAPPINGTON
Credential	:	D.P.M.
Telephone Number	:	804-934-9340

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	02/01/2011

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