North Shore Pedorthics, Llc in Lorain - Orthotist

North Shore Pedorthics, Llc - NPI 1508045238

North Shore Pedorthics, Llc is a Orthotist in Lorain, Ohio. North Shore Pedorthics, Llc practices all healthcare services and medical treatments related to Orthotist. The NPI Number for North Shore Pedorthics, Llc is 1508045238. The last update date is 2015-07-14.

North Shore Pedorthics, Llc's current location address is 4370 Oberlin Ave, Lorain, Ohio. You can contact this provider via phone number 4409892799 and fax number 4409891127. The mailing address for North Shore Pedorthics, Llc is 4370 Oberlin Ave, Lorain, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Shore Pedorthics, Llc
Address 4370 Oberlin Ave, Lorain, Ohio
Phone Number 4409892799
Fax Number 4409891127
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SINGLE MEM
Authorized Official Name Mason A. Dean
Credentials CPED, BOCO
Telephone Number 4409892799

NPI Number Detail

NPI Number 1508045238
Provider Enumeration Date 2007-10-30
Last Updated Date 2015-07-14

Provider Mailing Address Detail

Address 4370 Oberlin Ave
City Lorain
State Ohio (OH)
Post Code 440532942
Phone Number 4409892799
Fax Number 4409891127

Provider's Primary Taxonomy Detail

Speciality Orthotist
Taxonomy 222Z00000X
Licence No LO 228 LPED
Definition:
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2068622 OH --

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FAQs about North Shore Pedorthics, Llc

What is the unique identifier code issued to North Shore Pedorthics, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The North Shore Pedorthics, Llc has been assigned the NPI (National Provider Identifier) 1508045238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of North Shore Pedorthics, Llc?

The North Shore Pedorthics, Llc is physically situated at 4370 Oberlin Ave, in the city of Lorain, state of OH, with the postal code 440532942.

What is the North Shore Pedorthics, Llc's specialty and taxonomy code?

The North Shore Pedorthics, Llc's specialty is Orthotist, and the corresponding taxonomy code is 222Z00000X.

When did the North Shore Pedorthics, Llc receive its 1508045238?

The North Shore Pedorthics, Llc was issued its 1508045238 on 2007-10-30, which is the date when the organization was assigned this unique identifier.

When was the information related to North Shore Pedorthics, Llc most recently updated or refreshed?

The details pertaining to the North Shore Pedorthics, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-07-14.

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