National Provider Identifier Database

ORTHO SHOCK WAVE THERAPY INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ORTHO SHOCK WAVE THERAPY, INC.
3636 HARBOR BLVD
H2
COSTA MESA, CA92626
Phone: 714-966-9335
Fax: 714-966-9706
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ORTHO SHOCK WAVE THERAPY, INC.

NPI Number 1356430482
Legal business name
LBN
ORTHO SHOCK WAVE THERAPY, INC.
Authorized official DALE WILLETTS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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