Canton Orthotic Laboratory Inc in Canton - Prosthetic/orthotic Supplier
Canton Orthotic Laboratory Inc - NPI 1720080005
Canton Orthotic Laboratory Inc is a Prosthetic/orthotic Supplier in Canton, Ohio. Canton Orthotic Laboratory Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Canton Orthotic Laboratory Inc is 1720080005. The last update date is 2020-08-22.
Canton Orthotic Laboratory Inc's current location address is 811 12th St Nw, Canton, Ohio. You can contact this provider via phone number 3304542081 and fax number 3304549568. The mailing address for Canton Orthotic Laboratory Inc is 811 12th St Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canton Orthotic Laboratory Inc |
|---|---|
| Address | 811 12th St Nw, Canton, Ohio |
| Phone Number | 3304542081 |
| Fax Number | 3304549568 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Simko Thomas Stephen |
| Credentials | LO |
| Telephone Number | 3304542081 |
NPI Number Detail
| NPI Number | 1720080005 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 811 12th St Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 4470319270 |
| Phone Number | 3304542081 |
| Fax Number | 3304549568 |
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 |
|---|---|---|---|
| 155415 | OH | ANTHEM PROVIDER NUMBER | |
| 291143 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Canton Orthotic Laboratory Inc by the Centers for Medicare & Medicaid Services?
The Canton Orthotic Laboratory Inc has been assigned the NPI (National Provider Identifier) 1720080005 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Canton Orthotic Laboratory Inc's facilities are geographically located?
The facilities of Canton Orthotic Laboratory Inc are physically situated at the following location: 811 12Th St Nw, Canton, OH, 4470319270.
What is Canton Orthotic Laboratory Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Canton Orthotic Laboratory Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720080005 to Canton Orthotic Laboratory Inc?
The Centers for Medicare & Medicaid Services assigned the 1720080005 to Canton Orthotic Laboratory Inc on 2005-06-01.
As of what date was the information pertaining to Canton Orthotic Laboratory Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Canton Orthotic Laboratory Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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