Healthcare Provider Details

I. General information

NPI: 1043285240
Provider Name (Legal Business Name): BENCHMARK ORTHOTICS & PROSTHETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COLLEGE DR SUITE 400
LEMONT FURNACE PA
15456-9608
US

IV. Provider business mailing address

200 COLLEGE DR SUITE 400
LEMONT FURNACE PA
15456-9608
US

V. Phone/Fax

Practice location:
  • Phone: 724-438-6444
  • Fax: 724-438-2982
Mailing address:
  • Phone: 724-438-6444
  • Fax: 724-438-2982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number6000006107
License Number StatePA

VIII. Authorized Official

Name: MR. DENNIS J FITZPATRICK
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-644-7824