Canton Orthotic Laboratory Inc
LBN: Canton Orthotic Laboratory Inc
Canton Orthotic Laboratory Inc is an health care organization with primary practice located at 2400 Wales Ave Nw Suite H, Massillon OH 44646-0804. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Customized Equipment is the primary health care specialty.
Canton Orthotic Laboratory Inc can be contacted via phone (330) 833-0955, or through Simko, Stephen Thomas via phone (330) 833-0955.
Contact Information
Primary practice address
2400 Wales Ave Nw Suite H
Massillon OH 44646-0804
Phone: (330) 833-0955
Fax: (330) 833-0980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1073576617 |
|---|---|
| LBN Legal business name | Canton Orthotic Laboratory Inc |
| DBA Doing business as | |
| Authorized official | Simko, Stephen Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073576617 | NPPES |
| Ohio | Other | 000000155415 | ANTHEM COMMUNITY MUTUAL |
| Ohio | MEDICAID | 0291143 | ANTHEM COMMUNITY MUTUAL |
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