Promyse-Prosthetic Orthotic Group in Shreveport - Prosthetic/orthotic Supplier
Promyse-Prosthetic Orthotic Group - NPI 1811961436
Promyse-Prosthetic Orthotic Group is a Prosthetic/orthotic Supplier in Shreveport, Louisiana. Promyse-Prosthetic Orthotic Group practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Promyse-Prosthetic Orthotic Group is 1811961436. The last update date is 2020-09-10.
Promyse-Prosthetic Orthotic Group's current location address is 3227 Portland Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186369145 and fax number 3186363746. The mailing address for Promyse-Prosthetic Orthotic Group is 3227 Portland Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Promyse-Prosthetic Orthotic Group |
|---|---|
| Address | 3227 Portland Ave, Shreveport, Louisiana |
| Phone Number | 3186369145 |
| Fax Number | 3186363746 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Richter J Henry |
| Credentials | CPO, LPO |
| Telephone Number | 3186369145 |
NPI Number Detail
| NPI Number | 1811961436 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 3227 Portland Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034026 |
| Phone Number | 3186369145 |
| Fax Number | 3186363746 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: 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 f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100802440A | OK | -- | |
| 120085716 | AR | -- | |
| 75470701 | TX | -- | |
| 1370371 | LA | -- | |
| 440756 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Promyse-Prosthetic Orthotic Group by the Centers for Medicare & Medicaid Services?
The Promyse-Prosthetic Orthotic Group has been assigned the NPI (National Provider Identifier) 1811961436. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Promyse-Prosthetic Orthotic Group is physically located?
The Promyse-Prosthetic Orthotic Group is situated at the following address: 3227 Portland Ave, Shreveport, LA 711034026.
What is the Promyse-Prosthetic Orthotic Group's specialty and taxonomy code?
The Promyse-Prosthetic Orthotic Group's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811961436 to Promyse-Prosthetic Orthotic Group?
The Promyse-Prosthetic Orthotic Group received its 1811961436 assignment from the Centers for Medicare & Medicaid Services on 2006-02-13.
When was the information regarding Promyse-Prosthetic Orthotic Group most recently updated?
The details pertaining to the Promyse-Prosthetic Orthotic Group, including its address, specialty, and other relevant information, were last refreshed on 2020-09-10.