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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO LLC NPI 1871840447


NPI Information

NPI: 1871840447
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:
14055 CEDAR RD STE 107
SOUTH EUCLID, OH
ZIP 44118
Phone: (216) 371-0660
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PRESQUE ISLE ORTHOTICS AND PROSTHETICS OF OHIO, LLC is a prosthetic orthotic supplier in South Euclid, OH. 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 1871840447. 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:

14055 CEDAR RD STE 107
SOUTH EUCLID, OH
ZIP 44118-333
Phone: (216) 371-0660

The provider's authorized official is Solomon Heifetz .
The authorized official title is Director Of Operations and has the following contact phone number (216) 371-0660.

The enumeration date for this NPI number is 8/13/2012 and was last updated on 9/23/2022.


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
10860433-00MEDICAIDMARYLAND
20084932MEDICAIDOHIO

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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