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WISCONSIN PROSTHETICS & ORTHOTICS INC NPI 1962409482


NPI Information

NPI: 1962409482
Provider Name: WISCONSIN PROSTHETICS & ORTHOTICS INC

Doing Business As: NOVACARE PROSTHETICS & ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1845 VELP AVE
STE A
GREEN BAY, WI
ZIP 54303
Phone: (920) 435-3537
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WISCONSIN PROSTHETICS & ORTHOTICS INC is a prosthetic orthotic supplier in Green Bay, WI. 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. WISCONSIN PROSTHETICS & ORTHOTICS INC NPI is 1962409482. The provider is registered as an organization entity type.
The provider Is Doing Business As Novacare Prosthetics & Orthotics.

The provider's business location address is:

1845 VELP AVE
STE A
GREEN BAY, WI
ZIP 54303-594
Phone: (920) 435-3537
Fax: (920) 435-3545

The provider's authorized official is Michael E. Tarvin .
The authorized official title is Vp & Secretary and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 3/8/2017.


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

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
141791900MEDICAIDWISCONSIN
20247690001MEDICARE NSCWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.