Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1669435129 |
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| LBN Legal business name | JEFFERSON ORTHOPEDICS INC | ||||||||
| Authorized official | BRITTANY GRUNBERG - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/07/2006 | ||||||||
| Last updated | 10/14/2015 - About 11 years ago | ||||||||
| Identifiers |
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