Northern Prosthetics & Orthopedic Inc in Rockford - Prosthetic/orthotic Supplier

Northern Prosthetics & Orthopedic Inc - NPI 1194719328

Northern Prosthetics & Orthopedic Inc is a Prosthetic/orthotic Supplier in Rockford, Illinois. Northern Prosthetics & Orthopedic Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Northern Prosthetics & Orthopedic Inc is 1194719328. The last update date is 2020-05-14.

Northern Prosthetics & Orthopedic Inc's current location address is 2629 Charles St, Rockford, Illinois. You can contact this provider via phone number 8152260444 and fax number 8152261819. The mailing address for Northern Prosthetics & Orthopedic Inc is 2629 Charles St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern Prosthetics & Orthopedic Inc
Address 2629 Charles St, Rockford, Illinois
Phone Number 8152260444
Fax Number 8152261819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Schulze Herbert Erich
Credentials CPO, C.PED
Telephone Number 8152260444

NPI Number Detail

NPI Number 1194719328
Provider Enumeration Date 2005-09-02
Last Updated Date 2020-05-14

Provider Mailing Address Detail

Address 2629 Charles St
City Rockford
State Illinois (IL)
Post Code 611081608
Phone Number 8152260444
Fax Number 8152261819

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
10180001 IL BCBS OF IL HMO
41783100 WI --

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FAQs about Northern Prosthetics & Orthopedic Inc

What is the unique identifier code issued to Northern Prosthetics & Orthopedic Inc by the Centers for Medicare & Medicaid Services?

The Northern Prosthetics & Orthopedic Inc has been assigned the NPI (National Provider Identifier) 1194719328. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Northern Prosthetics & Orthopedic Inc is geographically located?

The Northern Prosthetics & Orthopedic Inc is physically situated at the following location: 2629 Charles St, Rockford, IL, 611081608.

What is Northern Prosthetics & Orthopedic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Northern Prosthetics & Orthopedic 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 the Centers for Medicare & Medicaid Services originally issue the 1194719328 to Northern Prosthetics & Orthopedic Inc?

The Centers for Medicare & Medicaid Services originally issued the 1194719328 to Northern Prosthetics & Orthopedic Inc on 2005-09-02.

When was the information related to Northern Prosthetics & Orthopedic Inc most recently updated or refreshed?

The details pertaining to the Northern Prosthetics & Orthopedic Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-05-14.

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