Srt Prosthetics & Orthotics Llc

LBN: Srt Prosthetics & Orthotics Llc
Srt Prosthetics & Orthotics Llc is an health care organization with primary practice located at 3818 W Jefferson Blvd , Fort Wayne IN 46804-6840. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Srt Prosthetics & Orthotics Llc can be contacted via phone (260) 432-8886, or through Siebenaler, Leslie via phone (866) 633-3961.

Contact Information

Primary practice address
3818 W Jefferson Blvd Fort Wayne IN 46804-6840
Phone: (260) 432-8886
Fax: (260) 432-1137
Website:
Map and Directions
Authorized official contact:
Name: Siebenaler, Leslie
Phone: (866) 633-3961

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1508804295
LBN Legal business name Srt Prosthetics & Orthotics Llc
DBA Doing business as
Authorized official Siebenaler, Leslie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 28th, 2022 - about 2 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 1508804295 NPPES
Indiana MEDICAID 200360760
Indiana Other 21825
Indiana Other 000000229696

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