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NORTH OTTAWA ORTHOTICS AND PROSTHETICS NPI 1487980405


NPI Information

NPI: 1487980405
Provider Name: NORTH OTTAWA ORTHOTICS AND PROSTHETICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1309 SHELDON RD
ORTHOTICS DEPT.
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 847-5365
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NORTH OTTAWA ORTHOTICS AND PROSTHETICS is a prosthetic orthotic supplier in Grand Haven, MI. 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. NORTH OTTAWA ORTHOTICS AND PROSTHETICS NPI is 1487980405. The provider is registered as an organization entity type.

The provider's business location address is:

1309 SHELDON RD
ORTHOTICS DEPT.
GRAND HAVEN, MI
ZIP 49417-404
Phone: (616) 847-5365
Fax: (616) 847-5294

The provider's authorized official is Gerald Michael Lunsford .
The authorized official title is Certified Orthotist/ Manager and has the following contact phone number (616) 847-5365.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.


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 SupplierCO2816ILLINOISYes

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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