Great Lakes Orthotics & Prosthetics Inc.

LBN: Great Lakes Orthotics & Prosthetics Inc.
Great Lakes Orthotics & Prosthetics Inc. is an health care organization with primary practice located at 3950 Evergreen Ct Ste A , Appleton WI 54913-8903. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Great Lakes Orthotics & Prosthetics Inc. can be contacted via phone (920) 968-2240, or through Alger, Perry L via phone (920) 968-2240.

Contact Information

Primary practice address
3950 Evergreen Ct Ste A Appleton WI 54913-8903
Fax: (920) 968-2241
Website:
Authorized official contact:
Name: Alger, Perry L Certified Orthotist (CO)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1720023724
LBN Legal business name Great Lakes Orthotics & Prosthetics Inc.
DBA Doing business as
Authorized official Alger, Perry L Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 9th, 2021 - about 3 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 1720023724 NPPES
Wisconsin MEDICAID 41792000

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