Organization Name: | SANLO ORTHOPEDICS LLC |
NPI Number: | 1033354782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ENRIQUETA SANTOS (CEO/OWNER) |
Mailing Address: | 7035 E. Reno Ave. Midwest City |
State: | OK US |
Postal Code: | 73110 |
Phone Number: | 4056106171 |
Fax Number: | 4056106173 |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |