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Bi-state Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Belleville, Illinois
NPI 1154462950

Bi-state Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Saint Louis, IL. Bi-state Orthotics & Prosthetics practices in Belleville, IL. The NPI Number for Bi-state Orthotics & Prosthetics is 1154462950 and holds a License No. (Illinois).

The current practice location address for Bi-state Orthotics & Prosthetics is 6400 W Main St, Belleville, IL and can be reached out via phone at 314-843-2664 and via fax at 314-842-3866. You can also correspond with Bi-state Orthotics & Prosthetics through the mailing address at 12660 LAMPLIGHTER SQR SHPPNG CTR, SAINT LOUIS, MO - 63128-2761 (mailing address contact number: 314-843-2664).

Location: 6400 W Main St, Belleville, IL, 63128-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154462950
Provider Name
Bi-state Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
6400 W Main St, Belleville, IL, 63128-2761
Phone Number
314-843-2664
Fax Number
314-842-3866
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8221629 01 IL BCBS OF IL
122758 01 MO BCBS OF MO
institution
Provider Business Practice Location Address Details
Address
6400 W Main St
City
Belleville
State
Illinois
Zip
62223-3806
Phone Number
314-843-2664
Fax Number
314-842-3866
person
Provider Business Mailing Address Details
Address
6400 W Main St
City
Belleville
State
Illinois
Zip
62223-3806
Phone Number
314-843-2664
Fax Number
314-842-3866
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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