Custom Design Orthotic & Prosthetic

LBN: Certified Orthotic & Prosthetic, Inc
Custom Design Orthotic & Prosthetic is an health care organization with primary practice located at 271 Cline Ave Unit 3, Mansfield OH 44907-1042. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Certified Orthotic & Prosthetic, Inc can be contacted via phone (419) 756-6226, or through Williams, Steven Marshall via phone (419) 756-6226.

Contact Information

Primary practice address
271 Cline Ave Unit 3 Mansfield OH 44907-1042
Phone: (419) 756-6226
Fax: (419) 756-7737
Website:
Map and Directions
Authorized official contact:
Name: Williams, Steven Marshall LPO
Phone: (419) 756-6226

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X LPO144 Ohio

Profile Details

NPI number 1467450726
LBN Legal business name Certified Orthotic & Prosthetic, Inc
DBA Doing business as Custom Design Orthotic & Prosthetic
Authorized official Williams, Steven Marshall LPO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1467450726 NPPES
Ohio MEDICAID 2307239

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