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Contact Information

ORTHOTIC & PROSTHETIC PROFESSIONAL CARE LLC
200 WOODLAND PASS
SUITE E
EAST LANSING, MI48823
 Phone: 517-333-0304
 Fax: 517-333-7074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for ORTHOTIC & PROSTHETIC PROFESSIONAL CARE LLC

NPI # 1245310424
LBN Legal business name ORTHOTIC & PROSTHETIC PROFESSIONAL CARE LLC
Authorized official RONALD SUTTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI Medicaid 4503723
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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