Organization Name: | AMICI'S ORTHOTICS & PROSTHETICS, INC |
NPI Number: | 1194805994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH H NOLL (PRESIDENT) |
Mailing Address: | 2135 Hampton Ct Fallston |
State: | MD US |
Postal Code: | 210472020 |
Phone Number: | 4108774160 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 08/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 12203879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |