Md Orthotic And Prosthetic Laboratories, Inc. in Peoria - Prosthetic/orthotic Supplier
Md Orthotic And Prosthetic Laboratories, Inc. - NPI 1932153418
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 1932153418. 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 | 1932153418 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| 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 |
|
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 |
|---|---|---|---|
| 200161960 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Md Orthotic And Prosthetic Laboratories, Inc. by the Centers for Medicare & Medicaid Services?
The Md Orthotic And Prosthetic Laboratories, Inc. has been issued the NPI (National Provider Identifier) 1932153418 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Md Orthotic And Prosthetic Laboratories, Inc.'s facilities are situated?
The facilities of Md Orthotic And Prosthetic Laboratories, Inc. are physically located at the following address: 741 W Main St, Peoria, IL, 616061953.
What is Md Orthotic And Prosthetic Laboratories, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Md Orthotic And Prosthetic Laboratories, Inc.'s area of specialization is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this field of practice is 335E00000X.
On what date did Md Orthotic And Prosthetic Laboratories, Inc. receive its 1932153418 assignment from the Centers for Medicare & Medicaid Services?
The Md Orthotic And Prosthetic Laboratories, Inc. was assigned its 1932153418 on 2006-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Md Orthotic And Prosthetic Laboratories, Inc. most recently updated or revised?
The information pertaining to Md Orthotic And Prosthetic Laboratories, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2018-07-30.