MEDICARE: JF ROWLEY PROSTHETIC AND ORTHOTIC LABORATORIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	LPO96	OH

General Provider Information

NPI Number	:	1477629111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JF ROWLEY PROSTHETIC AND ORTHOTIC LABORATORIES INC

Provider Business Mailing Address
First Line	:	3803 E LINCOLN HWY
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-5809
Country	:	US
Telephone Number	:	219-791-9200
Fax Number	:	513-861-3754

Provider Business Practice Location Address
First Line	:	2729 VINE STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2036
Country	:	US
Telephone Number	:	513-861-3705
Fax Number	:	513-861-3754

Authorized Official
Title or Position	:	OWNER OF BIONIC, WHO OWNS JF ROWLEY
Name	:	MR. SUMESH SAXENA JR.
Credential	:	CP, BOCO
Telephone Number	:	219-791-9200

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	06/19/2023

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