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PROSTHETIC DESIGN INC. NPI 1689672750


NPI Information

NPI: 1689672750
Provider Name: PROSTHETIC DESIGN, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
5467 HIGHLAND PARK DR
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 535-5359
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PROSTHETIC DESIGN, INC. is a prosthetic orthotic supplier in Saint Louis, MO. 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 DESIGN, INC. NPI is 1689672750. The provider is registered as an organization entity type.

The provider's business location address is:

5467 HIGHLAND PARK DR
SAINT LOUIS, MO
ZIP 63110-313
Phone: (314) 535-5359
Fax: (314) 535-5488

The provider's authorized official is Deborah Jean Wilson .
The authorized official title is Vice President and has the following contact phone number (314) 535-5359.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 4/20/2008.


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 Supplier17156319MISSOURIYes

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
1=========001MEDICAIDILLINOIS
21287470001MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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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