Penobscot Orthotics & Prosthetics

LBN: Central Maine Orthotics & Prosthetics
Penobscot Orthotics & Prosthetics is an health care organization with primary practice located at 36 Silver St , Waterville ME 04901-6514. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Central Maine Orthotics & Prosthetics can be contacted via phone (207) 873-1131, or through Ellis, Duane L via phone (207) 873-1131.

Contact Information

Primary practice address
36 Silver St Waterville ME 04901-6514
Phone: (207) 873-1131
Fax: (207) 872-6014
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Duane L Certified Orthotist (CO)
Phone: (207) 873-1131

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1265445464
LBN Legal business name Central Maine Orthotics & Prosthetics
DBA Doing business as Penobscot Orthotics & Prosthetics
Authorized official Ellis, Duane L Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 9th, 2010 - about 16 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 1265445464 NPPES
Maine MEDICAID 128630000
Maine MEDICAID 154570000
Maine Other M23300
Maine Other 015509

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