Pros

LBN: Pediatric Rehabilitative Orthotic Services Ltd Co
Pros is an health care organization with primary practice located at 480 E 141St St Ste E , Glenpool OK 74033-3550. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Pediatric Rehabilitative Orthotic Services Ltd Co can be contacted via phone (918) 518-5980, or through Thies, Mary Ellen via phone (918) 518-5980.

Contact Information

Primary practice address
480 E 141St St Ste E Glenpool OK 74033-3550
Phone: (918) 518-5980
Fax: (918) 518-5982
Website:
Map and Directions
Authorized official contact:
Name: Thies, Mary Ellen
Phone: (918) 518-5980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 11 Oklahoma

Profile Details

NPI number 1922352780
LBN Legal business name Pediatric Rehabilitative Orthotic Services Ltd Co
DBA Doing business as Pros
Authorized official Thies, Mary Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Aug 22nd, 2019 - about 7 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 1922352780 NPPES
Oklahoma MEDICAID 200069410A
Oklahoma MEDICAID 200748390A

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