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
Fax: (330) 454-9568
Website:
Authorized official contact:
Name: Simko, Stephen Thomas LO

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720080005 NPPES
Ohio Other 000000155415 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 0291143 ANTHEM PROVIDER NUMBER

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