MEDICARE: EUGENE TEUFEL & SON ORTHOTICS AND PROSTHETICS 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1538233689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUGENE TEUFEL & SON ORTHOTICS AND PROSTHETICS INC

Provider Business Mailing Address
First Line	:	915 N HANOVER ST
Second Line	:
City	:	ELIZABETHTOWN
State	:	PA
Zip	:	17022-1306
Country	:	US
Telephone Number	:	717-564-4521
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 BROOKWOOD AVE
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-9126
Country	:	US
Telephone Number	:	717-564-4521
Fax Number	:

Authorized Official
Title or Position	:	DIR OF REIMBURSEMENT
Name	:	SHERYL PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/02/2007

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