Center For Orthotic & Prosthetic Excellence, Llc in Peoria - Prosthetic/orthotic Supplier
Center For Orthotic & Prosthetic Excellence, Llc - NPI 1346424728
Center For Orthotic & Prosthetic Excellence, Llc is a Prosthetic/orthotic Supplier in Peoria, Illinois. Center For Orthotic & Prosthetic Excellence, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Center For Orthotic & Prosthetic Excellence, Llc is 1346424728. The last update date is 2018-07-30.
Center For Orthotic & Prosthetic Excellence, Llc's current location address is 741 W Main Street, Peoria, Illinois. You can contact this provider via phone number 3096762276 and fax number 8886636322. The mailing address for Center For Orthotic & Prosthetic Excellence, Llc is 741 W Main Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Orthotic & Prosthetic Excellence, Llc |
|---|---|
| Address | 741 W Main Street, Peoria, Illinois |
| Phone Number | 3096762276 |
| Fax Number | 8886636322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goertzen Donald |
| Credentials | CPO |
| Telephone Number | 3096762276 |
NPI Number Detail
| NPI Number | 1346424728 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 741 W Main Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61606 |
| Phone Number | 3096762276 |
| Fax Number | 8886636322 |
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 |
|---|---|---|---|
| CO003904 | IN | AMERICAN BOARD FOR CERTIFICATI | |
| 213.000102 | IL | STATE OF ILLINOIS - LICENSED O |
Post Comment/ Review Below
What is the unique provider identifier assigned to Center For Orthotic & Prosthetic Excellence, Llc?
The Center For Orthotic & Prosthetic Excellence, Llc has been issued the NPI (National Provider Identifier) 1346424728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Center For Orthotic & Prosthetic Excellence, Llc located?
The Center For Orthotic & Prosthetic Excellence, Llc is located at 741 W Main Street, Peoria, IL 61606.
What is Center For Orthotic & Prosthetic Excellence, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Center For Orthotic & Prosthetic Excellence, 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 Center For Orthotic & Prosthetic Excellence, Llc receive its 1346424728 assignment from the Centers for Medicare & Medicaid Services?
The Center For Orthotic & Prosthetic Excellence, Llc was assigned its 1346424728 by the Centers for Medicare & Medicaid Services on 2007-12-20.
When was the Center For Orthotic & Prosthetic Excellence, Llc's information last updated?
The Center For Orthotic & Prosthetic Excellence, Llc's information was last updated on 2018-07-30.