Novacare Prosthetics & Orthotics

LBN: Actra Rehabilitation Associates Inc
Novacare Prosthetics & Orthotics is an health care organization with primary practice located at 525 E Division St Suite 104, Fond Du Lac WI 54935-3747. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Actra Rehabilitation Associates Inc can be contacted via phone (920) 923-6676, or through Tarvin, Michael via phone (717) 972-1100.

Contact Information

Primary practice address
525 E Division St Suite 104 Fond Du Lac WI 54935-3747
Phone: (920) 923-6676
Fax: (920) 923-9020
Website:
Map and Directions
Authorized official contact:
Name: Tarvin, Michael
Phone: (717) 972-1100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1679548846
LBN Legal business name Actra Rehabilitation Associates Inc
DBA Doing business as Novacare Prosthetics & Orthotics
Authorized official Tarvin, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 22nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679548846 NPPES
Wisconsin MEDICAID 41790300

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