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NPI Code Detail

MEDICARE: CORNERSTONE PROSTHETICS AND ORTHOTICS INC

MEDICARE: CORNERSTONE PROSTHETICS AND ORTHOTICS 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
1335E00000XProsthetic/Orthotic Supplier600596756WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1027038001OTHERWAGROUP HEALTH - P & O
291118OTHERWALABOR AND INDUSTRIES P &O
38950LOOTHERWAREGENCE - P & O
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487708244
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE PROSTHETICS AND ORTHOTICS INC
Provider Business Mailing Address
First Line : 1300 44TH ST SE
Second Line :
City : EVERETT
State : WA
Zip : 98203-2200
Country : US
Telephone Number : 425-339-2559
Fax Number : 425-339-1583
Provider Business Practice Location Address
First Line : 7631 212TH ST SW
Second Line : SUITE 102A
City : EDMONDS
State : WA
Zip : 98026-7565
Country : US
Telephone Number : 425-776-1247
Fax Number : 425-776-8045
Authorized Official
Title or Position : PRESIDENT
Name : DAVID J HUGHES
Credential :
Telephone Number : 425-339-2559
Provider Enumeration Date : 01/22/2007
Last Update Date : 06/21/2018

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Directions to “CORNERSTONE PROSTHETICS AND ORTHOTICS INC ” Practice Location

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