Springfield Orthopaedic & Pedorthic Services, Llc

LBN: Springfield Orthopaedic & Pedorthic Services, Llc
Springfield Orthopaedic & Pedorthic Services, Llc is an health care organization with primary practice located at 2100 S Brentwood Blvd Ste A , Springfield MO 65804-2534. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Springfield Orthopaedic & Pedorthic Services, Llc can be contacted via phone (417) 888-0887, or through Fulk, Kurt B. via phone (417) 888-0887.

Contact Information

Primary practice address
2100 S Brentwood Blvd Ste A Springfield MO 65804-2534
Phone: (417) 888-0887
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fulk, Kurt B. BOC-O, C.PED, CO
Phone: (417) 888-0887

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1346419249
LBN Legal business name Springfield Orthopaedic & Pedorthic Services, Llc
DBA Doing business as
Authorized official Fulk, Kurt B. BOC-O, C.PED, CO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2008
Last updated Jul 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346419249 NPPES
Missouri MEDICAID 626363402

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