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PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO LLC NPI 1053859009


NPI Information

NPI: 1053859009
Provider Name: PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
415 N GREENWOOD ST STE E
PUEBLO, CO
ZIP 81003
Phone: (719) 542-1313
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PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC is a prosthetic orthotic supplier in Pueblo, CO. The provider is 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC NPI is 1053859009. The provider is registered as an organization entity type.

The provider's business location address is:

415 N GREENWOOD ST STE E
PUEBLO, CO
ZIP 81003-173
Phone: (719) 542-1313
Fax: (719) 542-9140

The provider's authorized official is Elizabeth Bush .
The authorized official title is President and has the following contact phone number (719) 542-1313.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 4/30/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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