Prosthetic Orthotic Specialist Inc

LBN: Prosthetic Orthotic Specialist Inc
Prosthetic Orthotic Specialist Inc is an health care organization with primary practice located at 701 Ne Jefferson Ave , Peoria IL 61603. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prosthetic Orthotic Specialist Inc can be contacted via phone (309) 688-9549, or through Goertzen, Donald via phone (309) 676-2276.

Contact Information

Primary practice address
701 Ne Jefferson Ave Peoria IL 61603
Phone: (309) 688-9549
Fax: (309) 676-0486
Website:
Map and Directions
Authorized official contact:
Name: Goertzen, Donald CPO
Phone: (309) 676-2276

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1851389449
LBN Legal business name Prosthetic Orthotic Specialist Inc
DBA Doing business as
Authorized official Goertzen, Donald CPO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2005
Last updated Jul 30th, 2018 - about 6 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 1851389449 NPPES
Illinois Other 05770602 BLUE CROSS BLUE SHIELD

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