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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO LLC NPI 1669713467


NPI Information

NPI: 1669713467
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:
718 HORTON DR
SILVER SPRING, MD
ZIP 20902
Phone: (301) 681-8658
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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC is a prosthetic orthotic supplier in Silver Spring, MD. 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 1669713467. 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:

718 HORTON DR
SILVER SPRING, MD
ZIP 20902-009
Phone: (301) 681-8658
Fax: (866) 536-2954

The provider's authorized official is Solomon Heifetz .
The authorized official title is Director Of Operations and has the following contact phone number (301) 681-8658.

The enumeration date for this NPI number is 3/5/2013 and was last updated on 5/10/2021.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2335E00000XProsthetic/Orthotic SupplierYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1052595200MEDICAIDMARYLAND

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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