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Contact Information

FOX RIVER PEDORTHICS, LLC
222B N MILWAUKEE ST
WATERFORD, WI53185-4312
 Phone: 262-210-5254
 Fax:
 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 FOX RIVER PEDORTHICS, LLC

NPI Number 1356571509
LBN Legal business name FOX RIVER PEDORTHICS, LLC
Authorized official GREG SCHMALFELDT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2009
Last updated 04/05/2010 - About 16 years ago
Identifiers n/a
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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