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NPI Code Detail

MEDICARE: ORTHOTIC & PROSTHETIC SOLUTIONS, INC

MEDICARE: ORTHOTIC & PROSTHETIC SOLUTIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1487772737
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOTIC & PROSTHETIC SOLUTIONS, INC
Provider Business Mailing Address
First Line : 2130 S 17TH ST
Second Line : SUITE 200
City : LINCOLN
State : NE
Zip : 68502-3750
Country : US
Telephone Number : 402-476-6575
Fax Number : 402-476-6576
Provider Business Practice Location Address
First Line : 2130 S 17TH ST
Second Line : SUITE 200
City : LINCOLN
State : NE
Zip : 68502-3750
Country : US
Telephone Number : 402-476-6575
Fax Number : 402-476-6576
Authorized Official
Title or Position : PRESIDENT
Name : ERIC BJORKMAN
Credential : PT
Telephone Number : 402-476-6575
Provider Enumeration Date : 03/26/2007
Last Update Date : 08/03/2007

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Directions to “ORTHOTIC & PROSTHETIC SOLUTIONS, INC ” Practice Location

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