Organization Name: | SPECIALIZED ORTHOTIC SYSTEMS |
NPI Number: | 1912230855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA L STOBBE (PRESIDENT) |
Mailing Address: | 4812 Crane Ct Frederick |
State: | CO US |
Postal Code: | 805045552 |
Phone Number: | 3034859758 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2008-000563820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |