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HEARTLAND ORTHOTIC & PROSTHETIC LAB NPI 1790900678


NPI Information

NPI: 1790900678
Provider Name: HEARTLAND ORTHOTIC & PROSTHETIC LAB
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
322 W MACARTHUR ST
SHAWNEE, OK
ZIP 74804
Phone: (405) 214-1924
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HEARTLAND ORTHOTIC & PROSTHETIC LAB is a prosthetic orthotic supplier in Shawnee, OK. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. HEARTLAND ORTHOTIC & PROSTHETIC LAB NPI is 1790900678. The provider is registered as an organization entity type.

The provider's business location address is:

322 W MACARTHUR ST
SHAWNEE, OK
ZIP 74804-908
Phone: (405) 214-1924
Fax: (405) 214-1110

The provider's authorized official is Lance Eliot Faulkner .
The authorized official title is Owner and has the following contact phone number (405) 214-1924.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierC15550OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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