Organization Name: | SWISS VALLEY FOOT & ANKLE CENTER |
NPI Number: | 1871779850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH L COOPER (PROPRIETOR) |
Mailing Address: | 832 Eastern Ave Woodsfield |
State: | OH US |
Postal Code: | 437939423 |
Phone Number: | 7404722259 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4600520001 |
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 |