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Contact Information

EASTERN IOWA ORTHOTICS & PROSTHETICS, LLC
5000 TREMONT AVE
STE 201
DAVENPORT, IA52807-1007
 Phone: 563-391-6789
 Fax: 563-391-4673
 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 EASTERN IOWA ORTHOTICS & PROSTHETICS, LLC

NPI # 1780686030
LBN Legal business name EASTERN IOWA ORTHOTICS & PROSTHETICS, LLC
Authorized official BERNARD HORSFALL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2005
Last updated 10/16/2008 - About 18 years ago
Identifiers
IA Medicaid 0443762
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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