Eastern Iowa Orthotics & Prosthetics, Llc

LBN: Eastern Iowa Orthotics & Prosthetics, Llc
Eastern Iowa Orthotics & Prosthetics, Llc is an health care organization with primary practice located at 5000 Tremont Ave Ste 201, Davenport IA 52807-1007. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Eastern Iowa Orthotics & Prosthetics, Llc can be contacted via phone (563) 391-6789, or through Horsfall, Bernard Kenneth via phone (563) 391-6789.

Contact Information

Primary practice address
5000 Tremont Ave Ste 201 Davenport IA 52807-1007
Phone: (563) 391-6789
Fax: (563) 391-4673
Website:
Map and Directions
Authorized official contact:
Name: Horsfall, Bernard Kenneth CPO
Phone: (563) 391-6789

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1780686030
LBN Legal business name Eastern Iowa Orthotics & Prosthetics, Llc
DBA Doing business as
Authorized official Horsfall, Bernard Kenneth CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 16th, 2008 - about 16 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 1780686030 NPPES
Iowa MEDICAID 0443762

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