CLOVER MARJORIE COLONEL (NPI# 1831346964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831346964 |
| Entity Type | Individual |
| Full Name | CLOVER MARJORIE COLONEL |
| Credential | R.N. |
| Practice Address |
1040 S Church St Burlington NC 27215-5046 |
| Practice Telephone | 3362228052 |
| Practice Fax Number | 3362228091 |
| Mailing Telephone | 3362228052 |
| Mailing Fax Number | 3362228091 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795167 | 05 |
| Street Address |
1040 S CHURCH ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825005 | Clover Family Corp | Prosthetic/Orthotic Supplier | 1040 S Church St, Burlington, NC 27215-5046 | 2006-01-11 |
| 1013063874 | Thomas Martin Colonel | Pharmacist | 1040 S Church St, Burlington, NC 27215-5046 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| 1336250059 | Flex Care, Inc. | Prosthetic/Orthotic Supplier | 15 Wildwood St, Burlington, MA 01803-1418 | 2006-08-31 |
| 1518077239 | Fdr Center for Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 8 Ray Ave, Burlington, MA 01803-4721 | 2006-08-30 |
| 1346290996 | Heritage Medical Equipment and Supplies Inc | Prosthetic/Orthotic Supplier | 624 S Roosevelt Ave, Burlington, IA 52601 | 2006-05-12 |
| 1861465205 | Carolina Eye Prosthetics, Inc | Prosthetic/Orthotic Supplier | 420 Maple Ave, Burlington, NC 27215-5934 | 2006-02-08 |
| 1306825005 | Clover Family Corp | Prosthetic/Orthotic Supplier | 1040 S Church St, Burlington, NC 27215-5046 | 2006-01-11 |
| 1265428122 | Boston Artificial Limb Company, Inc. | Prosthetic/Orthotic Supplier | 44 Middlesex Tpke, Burlington, MA 01803-4912 | 2005-09-26 |
| 1003273756 | Center for Orthotic and Prosthetic Care of North Carolina Inc | Prosthetic/Orthotic Supplier | 2260 S Church St, Suite 601, Burlington, NC 27215-5390 | 2016-01-26 |
| 1477853414 | Alamance Eye Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1736 Maple Ave, Burlington, NC 27215-6846 | 2010-10-25 |
| 1063688729 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 75 Middlesex Tpke, Burlington, MA 01803-5389 | 2008-05-02 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on CLOVER MARJORIE COLONEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.