Provider Demographics
NPI:1063292969
Name:PROSTHETIC SOLUTIONS INC.
Entity type:Organization
Organization Name:PROSTHETIC SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:504-500-1349
Mailing Address - Street 1:4000 BIENVILLE ST STE D
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5163
Mailing Address - Country:US
Mailing Address - Phone:504-500-1349
Mailing Address - Fax:
Practice Address - Street 1:2140 KIRKMAN ST STE A
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7446
Practice Address - Country:US
Practice Address - Phone:337-703-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROSTHETIC SOLUTIONS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier