San Juan Prosthetics And Orthotics, Llc

LBN: Prosthetic Development And Research, Inc.
San Juan Prosthetics And Orthotics, Llc is an health care organization with primary practice located at 1 Mercado St Ste. 203, Durango CO 81301-7300. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prosthetic Development And Research, Inc. can be contacted via phone (970) 259-9258, or through Obrien, Timothy John via phone (970) 259-9258.

Contact Information

Primary practice address
1 Mercado St Ste. 203 Durango CO 81301-7300
Phone: (970) 259-9258
Fax: (970) 385-7262
Website:
Map and Directions
Authorized official contact:
Name: Obrien, Timothy John C.P.O.
Phone: (970) 259-9258

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 1428 Illinois

Profile Details

NPI number 1104859248
LBN Legal business name Prosthetic Development And Research, Inc.
DBA Doing business as San Juan Prosthetics And Orthotics, Llc
Authorized official Obrien, Timothy John C.P.O.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
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 1104859248 NPPES
Colorado MEDICAID 08002149

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