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Contact Information

KORMYLO ORTHOPEDIC INC
175 N BENJAMIN LN
BOISE, ID83704-8328
 Phone: 208-377-4024
 Fax: 208-375-8522
 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 KORMYLO ORTHOPEDIC INC

NPI Number 1902811433
LBN Legal business name KORMYLO ORTHOPEDIC INC
Authorized official MARKUS KORMYLO - (PRESIDENT - OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 03/16/2010 - About 16 years ago
Identifiers
ID Medicaid 8069839
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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