P Antonelli Dist Inc in South Euclid - Prosthetic/orthotic Supplier
P Antonelli Dist Inc - NPI 1164451936
P Antonelli Dist Inc is a Prosthetic/orthotic Supplier in South Euclid, Ohio. P Antonelli Dist Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for P Antonelli Dist Inc is 1164451936. The last update date is 2020-08-22.
P Antonelli Dist Inc's current location address is 4483 Whitehall Dr, South Euclid, Ohio. You can contact this provider via phone number 2162913480. The mailing address for P Antonelli Dist Inc is 4483 Whitehall Dr, South Euclid, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | P Antonelli Dist Inc |
|---|---|
| Address | 4483 Whitehall Dr, South Euclid, Ohio |
| Phone Number | 2162913480 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Antonelli Ellen Patricia |
| Telephone Number | 2162913480 |
NPI Number Detail
| NPI Number | 1164451936 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4483 Whitehall Dr |
|---|---|
| City | South Euclid |
| State | Ohio (OH) |
| Post Code | 441213883 |
| Phone Number | 2162913480 |
| Fax Number |
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 |
|---|---|---|---|
| 872775 | OH | -- | |
| 1804015 | OH | IO WAIVER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to P Antonelli Dist Inc by the Centers for Medicare & Medicaid Services?
The P Antonelli Dist Inc has been assigned the NPI (National Provider Identifier) 1164451936 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where P Antonelli Dist Inc is geographically located?
The P Antonelli Dist Inc is physically situated at the following location: 4483 Whitehall Dr, South Euclid, OH, 441213883.
What is P Antonelli Dist Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for P Antonelli Dist Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date was the 1164451936 assigned to P Antonelli Dist Inc?
The P Antonelli Dist Inc was issued its 1164451936 on 2006-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to P Antonelli Dist Inc last refreshed?
The information related to the P Antonelli Dist Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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