Organization Name: | OTTO BOCK ORTHOPEDIC SERVICES LLC |
NPI Number: | 1629385034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON CLARK (CONTRACT ADMINISTRATOR) |
Mailing Address: | 659 Lakeview Plaza Blvd Suite A Worthington |
State: | OH US |
Postal Code: | 430854775 |
Phone Number: | 6147811784 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2010 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | HMER 22837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |