Md Orthotic And Prosthetic Laboratories, Inc in Peoria - Prosthetic/orthotic Supplier
Md Orthotic And Prosthetic Laboratories, Inc - NPI 1033261912
Md Orthotic And Prosthetic Laboratories, Inc is a Prosthetic/orthotic Supplier in Peoria, Illinois. Md Orthotic And Prosthetic Laboratories, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Md Orthotic And Prosthetic Laboratories, Inc is 1033261912. The last update date is 2018-07-30.
Md Orthotic And Prosthetic Laboratories, Inc's current location address is 741 W Main St, Peoria, Illinois. You can contact this provider via phone number 8003345705 and fax number 8886636322. The mailing address for Md Orthotic And Prosthetic Laboratories, Inc is 741 W Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Md Orthotic And Prosthetic Laboratories, Inc |
|---|---|
| Address | 741 W Main St, Peoria, Illinois |
| Phone Number | 8003345705 |
| 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 | 1033261912 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 741 W Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616061953 |
| Phone Number | 8003345705 |
| Fax Number | 8886636322 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 600086432130 |
|
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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What is the unique 10-digit identification code issued to Md Orthotic And Prosthetic Laboratories, Inc by the Centers for Medicare & Medicaid Services?
The Md Orthotic And Prosthetic Laboratories, Inc has been assigned the NPI (National Provider Identifier) 1033261912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Md Orthotic And Prosthetic Laboratories, Inc's facilities are geographically located?
The facilities of Md Orthotic And Prosthetic Laboratories, Inc are physically situated at the following location: 741 W Main St, Peoria, IL, 616061953.
What is Md Orthotic And Prosthetic Laboratories, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Md Orthotic And Prosthetic Laboratories, Inc is Prosthetic/orthotic Supplier, and the taxonomy classification code that categorizes this area of expertise is 335E00000X.
On what date did the Md Orthotic And Prosthetic Laboratories, Inc receive the assignment of its 1033261912 from the Centers for Medicare & Medicaid Services?
The Md Orthotic And Prosthetic Laboratories, Inc was issued its 1033261912 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the Md Orthotic And Prosthetic Laboratories, Inc's details last updated?
The information pertaining to the Md Orthotic And Prosthetic Laboratories, Inc, including its address, specialty, and other details, was most recently updated on 2018-07-30.
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