Certified Limb And Brace

LBN: Promyse-Prosthetic Orthotic Group
Certified Limb And Brace is an health care organization with primary practice located at 3227 Portland Ave , Shreveport LA 71103-4026. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Promyse-Prosthetic Orthotic Group can be contacted via phone (318) 636-9145, or through Richter, Henry J via phone (318) 636-9145.

Contact Information

Primary practice address
3227 Portland Ave Shreveport LA 71103-4026
Phone: (318) 636-9145
Fax: (318) 636-3746
Website:
Map and Directions
Authorized official contact:
Name: Richter, Henry J CPO, LPO
Phone: (318) 636-9145

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1811961436
LBN Legal business name Promyse-Prosthetic Orthotic Group
DBA Doing business as Certified Limb And Brace
Authorized official Richter, Henry J CPO, LPO
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811961436 NPPES
Oklahoma MEDICAID 100802440A
Oklahoma MEDICAID 120085716
Oklahoma MEDICAID 075470701
Oklahoma MEDICAID 1370371
Oklahoma MEDICAID 00440756

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