Healthcare Provider Details

I. General information

NPI: 1407504301
Provider Name (Legal Business Name): JF ROWLEY PROSTHETIC AND ORTHOTIC LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4357 FERGUSON DR STE 110
CINCINNATI OH
45245-1689
US

IV. Provider business mailing address

3803 E LINCOLN HWY
MERRILLVILLE IN
46410-5809
US

V. Phone/Fax

Practice location:
  • Phone: 513-743-7044
  • Fax: 513-672-2635
Mailing address:
  • Phone: 219-791-9200
  • Fax: 312-268-5389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SUMESH SAXENA
Title or Position: OWNER OF BIONIC
Credential:
Phone: 219-791-9200