Mrs. Wanda Bates Champion
Orthotic Fitter
139 E Main St
Forest City
, North Carolina 28043-3125
Mrs. Wanda Bates Champion
Orthotic Fitter
139 E Main St
Forest City
, North Carolina 28043-3125
(828) 245-1793
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Wanda Bates Champion
- 139 E Main St
- Forest City, NC
- Zip : 28043-3125
- Fax : (828) 245-1793
- Phone : (828) 245-4591
Second Address
- Mrs. Wanda Bates Champion
- 139 E Main St
- Forest City, NC
- Zip : 28043-3125
- Fax : (828) 245-1793
- Phone : (828) 245-4591
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CFTS0820 | NC |
National Provider Identifier
| NPI | 1548591324 |
|---|---|
| Provider Name | Mrs. Wanda Bates Champion |
| First Address | Forest City, NC 28043-3125 |
| Second Address | Forest City, NC 28043-3125 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2010 |
| Last Update Date | 30/07/2012 |
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.