Mr. Roger Cleveland Homesley
Orthotic Fitter
626 Center Dr
Lincolnton
, North Carolina 28092-3712
Mr. Roger Cleveland Homesley
Orthotic Fitter
626 Center Dr
Lincolnton
, North Carolina 28092-3712
(704) 735-9045
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Roger Cleveland Homesley
- Po Box 368 626 Center Drive
- Lincolnton, NC
- Zip : 28093-0368
- Fax : (704) 735-9045
- Phone : (704) 735-2556
Second Address
- Mr. Roger Cleveland Homesley
- 626 Center Dr
- Lincolnton, NC
- Zip : 28092-3712
- Fax : (704) 735-9045
- Phone : (704) 735-2556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CFO 03634 | NC |
| N | 225000000X | Orthotic Fitter | CFTS 1242 | NC |
National Provider Identifier
| NPI | 1114209111 |
|---|---|
| Provider Name | Mr. Roger Cleveland Homesley |
| First Address | Lincolnton, NC 28093-0368 |
| Second Address | Lincolnton, NC 28092-3712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2011 |
| Last Update Date | 15/09/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.