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ORTHOTECH ORTHOPEDIC APPLIANCE LLC NPI 1578601803


NPI Information

NPI: 1578601803
Provider Name: ORTHOTECH ORTHOPEDIC APPLIANCE LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
2254 S M 30
WEST BRANCH, MI
ZIP 48661
Phone: (989) 343-0526
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ORTHOTECH ORTHOPEDIC APPLIANCE LLC is a prosthetic orthotic supplier in West Branch, MI. 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. ORTHOTECH ORTHOPEDIC APPLIANCE LLC NPI is 1578601803. The provider is registered as an organization entity type.

The provider's business location address is:

2254 S M 30
WEST BRANCH, MI
ZIP 48661-711
Phone: (989) 343-0526
Fax: (989) 343-0525

The provider's authorized official is Lawrence Michael Bugg .
The authorized official title is Owner and has the following contact phone number (989) 343-0526.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 9/24/2019.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentMICHIGANNo
2335E00000XProsthetic/Orthotic SupplierMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14759354MEDICAIDMICHIGAN
2530F510320OTHERMICHIGANBLUE CROSS

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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