Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1861626723 |
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| LBN Legal business name | EASTPOINT PROSTHETICS & ORTHOTICS, INC. | ||||||||||||||||||||
| Authorized official | MITCHEL SUGG - (PRESIDENT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 05/07/2009 | ||||||||||||||||||||
| Last updated | 12/03/2018 - About 8 years ago | ||||||||||||||||||||
| Identifiers |
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