NPI 1215171764

Wva Diabetic Supplies LLC

Organisation Prosthetic/Orthotic Supplier Shinnston, WV

Practice location

Address: 409 S Pike St, Shinnston, WV 26431-1125
Phone: (304) 592-1870
Fax: (304) 592-1890

Authorised official

Name: Debra Marie Price
Title: Owner/Manager
Phone: (304) 592-3340

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 2223-3336 (WV)

Other Prosthetic/Orthotic Supplier providers in West Virginia →

Registry record

NPI: 1215171764
Entity type: Organization
NPI issued: 28 Apr 2009
Record last updated: 30 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.