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DELAWARE PEDORTHICS NPI 1811128242


NPI Information

NPI: 1811128242
Provider Name: DELAWARE PEDORTHICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 08D0903231

Address:
5321 BRANDYWINE PKWY
WILMINGTON, DE
ZIP 19803
Phone: (302) 230-3065
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DELAWARE PEDORTHICS is a prosthetic orthotic supplier in Wilmington, DE. 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. DELAWARE PEDORTHICS NPI is 1811128242. The provider is registered as an organization entity type.

The provider's business location address is:

5321 BRANDYWINE PKWY
WILMINGTON, DE
ZIP 19803-471
Phone: (302) 230-3065
Fax: (302) 230-3045

The provider's authorized official is Von Maurice Homer .
The authorized official title is Pedorthist and has the following contact phone number (302) 230-3065.

The CLIA number assigned to this NPI record is 08D0903231 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.


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 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: 11/14/2023

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