Smart Form Inc in Pittsburgh - Prosthetic/orthotic Supplier
Smart Form Inc - NPI 1033102330
Smart Form Inc is a Prosthetic/orthotic Supplier in Pittsburgh, Pennsylvania. Smart Form Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Smart Form Inc is 1033102330. The last update date is 2020-08-22.
Smart Form Inc's current location address is 100 5th Ave, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4122819913 and fax number 4122818074. The mailing address for Smart Form Inc is 100 5th Ave, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Smart Form Inc |
|---|---|
| Address | 100 5th Ave, Pittsburgh, Pennsylvania |
| Phone Number | 4122819913 |
| Fax Number | 4122818074 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL MA |
|---|---|
| Authorized Official Name | Churma J Laurie |
| Credentials | BOC CERTIF |
| Telephone Number | 4122819913 |
NPI Number Detail
| NPI Number | 1033102330 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 5th Ave |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152221821 |
| Phone Number | 4122819913 |
| Fax Number | 4122818074 |
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 |
|---|---|---|---|
| 16096020001 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Smart Form Inc?
The Smart Form Inc has been issued the NPI (National Provider Identifier) 1033102330 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Smart Form Inc is geographically located?
The Smart Form Inc is physically situated at the following location: 100 5Th Ave, Pittsburgh, PA, 152221821.
What is the Smart Form Inc's specialty and taxonomy code?
The Smart Form Inc's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
When was the Smart Form Inc's 1033102330 issued?
The Smart Form Inc's 1033102330 was issued on 2005-08-23.
As of what date was the information regarding Smart Form Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Smart Form Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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