Prosthetic Orthotic Specialist Inc in Peoria - Prosthetic/orthotic Supplier
Prosthetic Orthotic Specialist Inc - NPI 1851389449
Prosthetic Orthotic Specialist Inc is a Prosthetic/orthotic Supplier in Peoria, Illinois. Prosthetic Orthotic Specialist Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Prosthetic Orthotic Specialist Inc is 1851389449. The last update date is 2018-07-30.
Prosthetic Orthotic Specialist Inc's current location address is 701 Ne Jefferson Ave, Peoria, Illinois. You can contact this provider via phone number 3096889549 and fax number 3096760486. The mailing address for Prosthetic Orthotic Specialist Inc is 701 Ne Jefferson Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prosthetic Orthotic Specialist Inc |
|---|---|
| Address | 701 Ne Jefferson Ave, Peoria, Illinois |
| Phone Number | 3096889549 |
| Fax Number | 3096760486 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goertzen Donald |
| Credentials | CPO |
| Telephone Number | 3096762276 |
NPI Number Detail
| NPI Number | 1851389449 |
|---|---|
| Provider Enumeration Date | 2005-10-09 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 701 Ne Jefferson Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61603 |
| Phone Number | 3096889549 |
| Fax Number | 3096760486 |
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 |
|---|---|---|---|
| 5770602 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Prosthetic Orthotic Specialist Inc by the Centers for Medicare & Medicaid Services?
The Prosthetic Orthotic Specialist Inc has been assigned the NPI (National Provider Identifier) 1851389449 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Prosthetic Orthotic Specialist Inc is physically located?
The Prosthetic Orthotic Specialist Inc is physically situated at the following address: 701 Ne Jefferson Ave, Peoria, IL, 61603.
What is Prosthetic Orthotic Specialist Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Prosthetic Orthotic Specialist Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date was the 1851389449 assigned to Prosthetic Orthotic Specialist Inc?
The Prosthetic Orthotic Specialist Inc was issued its 1851389449 on 2005-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Prosthetic Orthotic Specialist Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Prosthetic Orthotic Specialist Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-30.