Bi-State Orthotics & Prosthetics

LBN: Bi-State Orthotics & Prosthetics
Bi-State Orthotics & Prosthetics is an health care organization with primary practice located at 6400 W Main St Suite 3G, Belleville IL 62223-3806. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Bi-State Orthotics & Prosthetics can be contacted via phone (314) 843-2664, or through Nieder, Michael J via phone (314) 843-2664.

Contact Information

Primary practice address
6400 W Main St Suite 3G Belleville IL 62223-3806
Fax: (314) 842-3866
Website:
Authorized official contact:
Name: Nieder, Michael J Certified Orthotist (CO)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1154462950
LBN Legal business name Bi-State Orthotics & Prosthetics
DBA Doing business as
Authorized official Nieder, Michael J Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 26th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154462950 NPPES
Illinois Other 8221629 BCBS OF IL
Illinois Other 122758 BCBS OF IL

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