Kormylo Orthopedic Inc

LBN: Kormylo Orthopedic Inc
Kormylo Orthopedic Inc is an health care organization with primary practice located at 175 N Benjamin Ln , Boise ID 83704-8328. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Kormylo Orthopedic Inc can be contacted via phone (208) 377-4024, or through Kormylo, Markus A via phone (208) 377-4024.

Contact Information

Primary practice address
175 N Benjamin Ln Boise ID 83704-8328
Phone: (208) 377-4024
Fax: (208) 375-8522
Website:
Map and Directions
Authorized official contact:
Name: Kormylo, Markus A C.P.O.
Phone: (208) 377-4024

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1902811433
LBN Legal business name Kormylo Orthopedic Inc
DBA Doing business as
Authorized official Kormylo, Markus A C.P.O.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 16th, 2010 - about 15 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 1902811433 NPPES
Idaho MEDICAID 8069839

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