1114902665 THE CUSTOM SOURCE INC
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- THE CUSTOM SOURCE INC
- Enumeration Date
- December 7, 2005
- Last Update
- July 21, 2022
- Authorized Official
- KASEY ROLFES DHA, ATC
OPERATIONS MANAGER
Phone: (704) 893-5457
Practice Location
- Address
- 1013 CHESTNUT LN STE 120
MATTHEWS, NC 281048567 - Phone
- (704) 893-5457
- Fax
- (704) 973-0696
Mailing Address
- Address
- 1013 CHESTNUT LN STE 120
MATTHEWS, NC 281048567 - Phone
- (704) 893-5457
- Fax
- (704) 973-0696
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Orthotist | 222Z00000X | Orthotist | N/A | N/A | No |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0491E | 01 | N/A | BC/BS/NC |
| 7700578 | 05 | NC | N/A |
Frequently Asked Questions
What is THE CUSTOM SOURCE INC's NPI number?
THE CUSTOM SOURCE INC's NPI number is 1114902665.
Which doctor has NPI number 1114902665?
The doctor with NPI number 1114902665 is THE CUSTOM SOURCE INC.
What is THE CUSTOM SOURCE INC's practice address?
THE CUSTOM SOURCE INC's practice address is 1013 CHESTNUT LN STE 120, MATTHEWS, NC, 281048567.
Which doctor practices at 1013 CHESTNUT LN STE 120, MATTHEWS, NC, 281048567?
THE CUSTOM SOURCE INC practices at 1013 CHESTNUT LN STE 120, MATTHEWS, NC, 281048567.
What is THE CUSTOM SOURCE INC's phone number?
THE CUSTOM SOURCE INC's phone number is (704) 893-5457.
Who is (704) 893-5457?
(704) 893-5457 is the phone number for THE CUSTOM SOURCE INC.
What is THE CUSTOM SOURCE INC's specialty?
THE CUSTOM SOURCE INC's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is THE CUSTOM SOURCE INC?
THE CUSTOM SOURCE INC is a Prosthetic/Orthotic Supplier.
Is THE CUSTOM SOURCE INC a Prosthetic/Orthotic Supplier?
Yes, THE CUSTOM SOURCE INC is a Prosthetic/Orthotic Supplier.
Is THE CUSTOM SOURCE INC still practicing?
Yes, THE CUSTOM SOURCE INC is currently practicing.
Is THE CUSTOM SOURCE INC accepting new patients?
THE CUSTOM SOURCE INC may be accepting new patients. Please call their office at (704) 893-5457 to inquire about availability.
Is NPI 1114902665 still active?
Yes, NPI 1114902665 is currently active.
Where does THE CUSTOM SOURCE INC practice?
THE CUSTOM SOURCE INC practices in MATTHEWS, NC.