Canton Orthotic Laboratory Inc
LBN: Canton Orthotic Laboratory Inc
Canton Orthotic Laboratory Inc is an health care organization with primary practice located at 811 12Th St Nw , Canton OH 44703-1927. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Canton Orthotic Laboratory Inc can be contacted via phone (330) 454-2081, or through Simko, Stephen Thomas via phone (330) 454-2081.
Contact Information
Primary practice address
811 12Th St Nw
Canton OH 44703-1927
Phone: (330) 454-2081
Fax: (330) 454-9568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | ||
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | Ohio |
Profile Details
NPI number | 1720080005 |
---|---|
LBN Legal business name | Canton Orthotic Laboratory Inc |
DBA Doing business as | |
Authorized official | Simko, Stephen Thomas LO |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720080005 | NPPES |
Ohio | Other | 000000155415 | ANTHEM PROVIDER NUMBER |
Ohio | MEDICAID | 0291143 | ANTHEM PROVIDER NUMBER |
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