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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO LLC NPI 1912307992


NPI Information

NPI: 1912307992
Provider Name: PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC

Doing Business As: PRESQUE ISLE MEDICAL TECHNOLOGIES

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3700 OAKTON ST STE 103
SKOKIE, IL
ZIP 60076
Phone: (773) 432-7616
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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC is a prosthetic orthotic supplier in Skokie, IL. 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. PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC NPI is 1912307992. The provider is registered as an organization entity type.
The provider Is Doing Business As Presque Isle Medical Technologies.

The provider's business location address is:

3700 OAKTON ST STE 103
SKOKIE, IL
ZIP 60076-407
Phone: (773) 432-7616
Fax: (773) 432-7616

The provider's authorized official is Solomon Heifetz .
The authorized official title is Coo and has the following contact phone number (216) 371-0660.

The enumeration date for this NPI number is 8/27/2014 and was last updated on 8/15/2023.


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: 4/28/2024

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