Canton Orthotic Laboratory Inc in Massillon - Customized Equipment
Canton Orthotic Laboratory Inc - NPI 1073576617
Canton Orthotic Laboratory Inc is a Customized Equipment in Massillon, Ohio. Canton Orthotic Laboratory Inc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Canton Orthotic Laboratory Inc is 1073576617. The last update date is 2020-08-22.
Canton Orthotic Laboratory Inc's current location address is 2400 Wales Ave Nw, Massillon, Ohio. You can contact this provider via phone number 3308330955 and fax number 3308330980. The mailing address for Canton Orthotic Laboratory Inc is 2400 Wales Ave Nw, Massillon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canton Orthotic Laboratory Inc |
|---|---|
| Address | 2400 Wales Ave Nw, Massillon, Ohio |
| Phone Number | 3308330955 |
| Fax Number | 3308330980 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Simko Thomas Stephen |
| Telephone Number | 3308330955 |
NPI Number Detail
| NPI Number | 1073576617 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2400 Wales Ave Nw |
|---|---|
| City | Massillon |
| State | Ohio (OH) |
| Post Code | 446460804 |
| Phone Number | 3308330955 |
| Fax Number | 3308330980 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155415 | OH | ANTHEM COMMUNITY MUTUAL | |
| 291143 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Canton Orthotic Laboratory Inc by the Centers for Medicare & Medicaid Services?
The Canton Orthotic Laboratory Inc has been issued the NPI (National Provider Identifier) 1073576617. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Canton Orthotic Laboratory Inc's physical address?
The Canton Orthotic Laboratory Inc is physically located at 2400 Wales Ave Nw, in the city of Massillon, OH, with the postal code 446460804.
What is Canton Orthotic Laboratory Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Canton Orthotic Laboratory Inc is Customized Equipment, and the corresponding taxonomy classification code for this specialized field is 332Bc3200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073576617 to Canton Orthotic Laboratory Inc?
The Centers for Medicare & Medicaid Services assigned the 1073576617 to Canton Orthotic Laboratory Inc on 2006-04-06.
When was the information regarding Canton Orthotic Laboratory Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Canton Orthotic Laboratory Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.