Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | NC |
NPI | 1053530154 |
---|---|
Provider Name | Mr. Charles Arnold Britt |
First Address | Reidsville, NC 27320-5330 |
Second Address | Reidsville, NC 27320-5330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 10/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1740278167 | NPI (01) | NC |
7795121 | (05) | NC |