Provider Demographics
NPI: | 1609021419 |
---|---|
Name: | ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC |
Entity type: | Organization |
Organization Name: | ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OPERATING OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELIZABETH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROTHSCHILD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 410-546-5502 |
Mailing Address - Street 1: | 300 MILL ST |
Mailing Address - Street 2: | UNITS C AND D |
Mailing Address - City: | SALISBURY |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21801-4202 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 410-546-5502 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 903 LAKEVIEW AVE |
Practice Address - Street 2: | |
Practice Address - City: | MILFORD |
Practice Address - State: | DE |
Practice Address - Zip Code: | 19963-1731 |
Practice Address - Country: | US |
Practice Address - Phone: | 800-532-4473 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-11-20 |
Last Update Date: | 2010-02-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
DE | 0129300008 | Medicare NSC |