Prosthetic And Orthotic Care Llc in Fairview Heights - Prosthetic/orthotic Supplier
Prosthetic And Orthotic Care Llc - NPI 1629148739
Prosthetic And Orthotic Care Llc is a Prosthetic/orthotic Supplier in Fairview Heights, Illinois. Prosthetic And Orthotic Care Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Prosthetic And Orthotic Care Llc is 1629148739. The last update date is 2021-11-11.
Prosthetic And Orthotic Care Llc's current location address is 13 Executive Dr, Fairview Heights, Illinois. You can contact this provider via phone number 6182120006 and fax number 6182120010. The mailing address for Prosthetic And Orthotic Care Llc is 13 Executive Dr, Fairview Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prosthetic And Orthotic Care Llc |
|---|---|
| Address | 13 Executive Dr, Fairview Heights, Illinois |
| Phone Number | 6182120006 |
| Fax Number | 6182120010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Weber Joseph James |
| Telephone Number | 3147752041 |
NPI Number Detail
| NPI Number | 1629148739 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 13 Executive Dr |
|---|---|
| City | Fairview Heights |
| State | Illinois (IL) |
| Post Code | 622081342 |
| Phone Number | 6182120006 |
| Fax Number | 6182120010 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 625748603 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Prosthetic And Orthotic Care Llc by the Centers for Medicare & Medicaid Services?
The Prosthetic And Orthotic Care Llc has been issued the NPI (National Provider Identifier) 1629148739. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Prosthetic And Orthotic Care Llc's facilities are situated?
The facilities of Prosthetic And Orthotic Care Llc are physically located at the following address: 13 Executive Dr, Fairview Heights, IL, 622081342.
What is Prosthetic And Orthotic Care Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prosthetic And Orthotic Care Llc's specialized field of practice is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629148739 to Prosthetic And Orthotic Care Llc?
The Prosthetic And Orthotic Care Llc received its 1629148739 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date was the information pertaining to Prosthetic And Orthotic Care Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Prosthetic And Orthotic Care Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-11.