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Orthopedic And Sports Medicine Center Of Northern Indiana, Inc.
Prosthetic/Orthotic Supplier in Elkhart, Indiana
NPI 1043425564

Orthopedic And Sports Medicine Center Of Northern Indiana, Inc. is a Prosthetic/Orthotic Supplier based in Elkhart, IN. Orthopedic And Sports Medicine Center Of Northern Indiana, Inc. practices in Elkhart, IN. The NPI Number for Orthopedic And Sports Medicine Center Of Northern Indiana, Inc. is 1043425564 and holds a License No. 50000745A (Indiana).

The current practice location address for Orthopedic And Sports Medicine Center Of Northern Indiana, Inc. is 2310 California Rd Ste A, Elkhart, IN and can be reached out via phone at 574-264-0791 and via fax at 574-262-9650.

Location: 2310 California Rd Ste A, Elkhart, IN, 46514-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043425564
Provider Name
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc.
Credential
Provider Entity Type
Organization
Address
2310 California Rd Ste A, Elkhart, IN, 46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100111780A 05 IN
institution
Provider Business Practice Location Address Details
Address
2310 California Rd Ste A
City
Elkhart
State
Indiana
Zip
46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
person
Provider Business Mailing Address Details
Address
2310 California Rd Ste A
City
Elkhart
State
Indiana
Zip
46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
50000745A (Indiana)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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