MR. MICHAEL W. RASCH C.P.O. NPI 1164518114

NPI Information

NPI: 1164518114
Provider Name: MR. MICHAEL W. RASCH, C.P.O.
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
1691 GALISTEO ST
SUITE B
SANTA FE, NM
ZIP 87505
Phone: (505) 820-2390
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MR. Michael W. Rasch, C.P.O. is an orthotic fitter in Santa Fe, NM. The provider is an individual trained in the management of fitting prefabricated orthoses. MR. Michael W. Rasch, C.P.O. NPI is 1164518114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1691 GALISTEO ST
SUITE B
SANTA FE, NM
ZIP 87505-780
Phone: (505) 820-2390
Fax: (505) 820-2392

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/11/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter		CPO 1456	DELAWARE	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84927054	MEDICAID	NEW MEXICO
2	5122720002	MEDICARE PIN	NEW MEXICO

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

NPI Synchronization or Removal

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