Healthcare Provider Details
I. General information
NPI: 1750550661
Provider Name (Legal Business Name): ORTHOFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2008
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6497 TRANSIT RD
BOWMANSVILLE NY
14026-1043
US
IV. Provider business mailing address
6497 TRANSIT RD
BOWMANSVILLE NY
14026-1043
US
V. Phone/Fax
- Phone: 716-725-3658
- Fax:
- Phone: 716-725-3658
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
M
PASCHKE
Title or Position: PRESIDENT
Credential:
Phone: 716-725-3658