Healthcare Provider Details

I. General information

NPI: 1649352352
Provider Name (Legal Business Name): AMANNS ORTHOPEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 N BALLAS RD SUITE C65
SAINT LOUIS MO
63131-2321
US

IV. Provider business mailing address

2821 N BALLAS RD SUITE C65
SAINT LOUIS MO
63131-2321
US

V. Phone/Fax

Practice location:
  • Phone: 314-567-6649
  • Fax:
Mailing address:
  • Phone: 314-567-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number11777630
License Number StateMO

VIII. Authorized Official

Name: MR. ERHARD P AMANN
Title or Position: PRES
Credential: CPO
Phone: 314-567-6649