Healthcare Provider Details

I. General information

NPI: 1689678179
Provider Name (Legal Business Name): SVETZ ORTHOTICS & PROSTHETICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MAIN ST
GREENSBURG PA
15601-4049
US

IV. Provider business mailing address

600 S MAIN ST
GREENSBURG PA
15601-4049
US

V. Phone/Fax

Practice location:
  • Phone: 724-834-1448
  • Fax: 724-834-4788
Mailing address:
  • Phone: 724-834-1448
  • Fax: 724-834-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number6000006054
License Number StatePA

VIII. Authorized Official

Name: MISS MICHELLE SVETZ
Title or Position: CEO
Credential:
Phone: 724-834-1448