Eastside Orthotics & Prosthetics Inc
LBN: Eastside Orthotics & Prosthetics Inc
Eastside Orthotics & Prosthetics Inc is an health care organization with primary practice located at 26 Palmers Hill Rd Rm 1000, Stamford CT 06902-2113. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Eastside Orthotics & Prosthetics Inc can be contacted via phone (203) 975-9004, or through Flynn, Matthew D via phone (631) 727-8735.
Contact Information
Primary practice address
26 Palmers Hill Rd Rm 1000
Stamford CT 06902-2113
Phone: (203) 975-9004
Fax: (203) 975-9008
Website:
Authorized official contact:
Name: Flynn, Matthew D Certified Psychologist (CP)
Phone: (631) 727-8735
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1093719593 |
|---|---|
| LBN Legal business name | Eastside Orthotics & Prosthetics Inc |
| DBA Doing business as | |
| Authorized official | Flynn, Matthew D Certified Psychologist (CP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jun 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093719593 | NPPES |
| Connecticut | MEDICAID | 004240652 |
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