ESSENTIALS SOUL-ON LLC
NPI 1154724094
Prosthetic/Orthotic Supplier in Clinton, MD
- Organization
- Prosthetic/Orthotic Supplier
About ESSENTIALS SOUL-ON LLC
This page provides the complete NPI Profile along with additional information for Essentials Soul-on Llc, a provider established in Clinton, Maryland operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1154724094 assigned on October 2014. The practitioner's primary taxonomy code is 335E00000X with license number 425560 (MD). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Dejuan Burns (Owner)
- NPI
- 1154724094 Verify this NPI
- Provider Name
- ESSENTIALS SOUL-ON LLC
- Entity Type
- Organization
- Location Address
- 7902 OLD BRANCH AVE 105 CLINTON, MD 20735
- Location Phone
- (202) 802-3098
- Mailing Address
- 6600 HORSESHOE RD CLINTON, MD 20735
- Mailing Phone
- (202) 802-3098
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2014
- Last Update Date
- 10-07-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 425560
- License State
- MD
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154724094, enumerated as an "organization" on October 07, 2014.
The provider is located at 7902 OLD BRANCH AVE 105 CLINTON, MD 20735 and the phone number is (202) 802-3098.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
