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Contact Information

DISSIRAMA A BETIMBENA, SOLE MBR
11260 CHESTER RD FL 7
CINCINNATI, OH45246-4048
 Phone: 513-747-0460
 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

NPI Number 1508682071
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/29/2024
Last updated 04/18/2025 - More than a year ago
Identifiers
OH License # 29BYIDRXDQ
OH License # 335E00000X
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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