National Provider Identifier Database

JEFFERSON ORTHOPEDICS INC
Customized Equipment


Contact Information

JEFFERSON ORTHOPEDICS INC
1612 CLEARVIEW PKWY
METAIRIE, LA70001
Phone: 504-888-0213
Fax: 504-888-0293
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for JEFFERSON ORTHOPEDICS INC

NPI Number 1669435129
Legal business name
LBN
JEFFERSON ORTHOPEDICS INC
Authorized official BRITTANY GRUNBERG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/07/2006
Last updated 10/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 435810
  • LA Medicaid: 1118231

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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