ORTHOPAEDICS NORTHEAST PC NPI 1043270002

NPI Information

ORTHOPAEDICS NORTHEAST, PC is a durable medical equipment medical supplies in Fort Wayne, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ORTHOPAEDICS NORTHEAST, PC NPI is 1043270002. The provider is registered as an organization entity type.

The provider's business location address is:

7920 W JEFFERSON BLVD
SUITE 210
FORT WAYNE, IN
ZIP 46804-168
Phone: (260) 484-8551
Fax: (260) 484-9603

The provider's authorized official is Raymond Kusisto .
The authorized official title is Ceo and has the following contact phone number (260) 484-8551.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 4/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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