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TETER ORTHOTICS & PROSTHETICS INC NPI 1841219813


NPI Information

NPI: 1841219813
Provider Name: TETER ORTHOTICS & PROSTHETICS, INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2645 W HOUGHTON LAKE DR STE 1
HOUGHTON LAKE, MI
ZIP 48629
Phone: (989) 366-0698
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TETER ORTHOTICS & PROSTHETICS, INC is a prosthetic orthotic supplier in Houghton Lake, 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. TETER ORTHOTICS & PROSTHETICS, INC NPI is 1841219813. The provider is registered as an organization entity type.

The provider's business location address is:

2645 W HOUGHTON LAKE DR STE 1
HOUGHTON LAKE, MI
ZIP 48629-262
Phone: (989) 366-0698
Fax: (231) 947-1370

The provider's authorized official is Grace Angeline .
The authorized official title is Reg Compliance Specialist Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/20/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic Supplier3820261415MICHIGANYes

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
14947031MEDICAIDMICHIGAN

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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