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Summit City Prosthetics & Orthotics Inc
Prosthetic/Orthotic Supplier in South Bend, Indiana
NPI 1184205379

Summit City Prosthetics & Orthotics Inc is a Prosthetic/Orthotic Supplier based in South Bend, IN. Summit City Prosthetics & Orthotics Inc practices in South Bend, IN. The NPI Number for Summit City Prosthetics & Orthotics Inc is 1184205379 and holds a License No. (Indiana).

The current practice location address for Summit City Prosthetics & Orthotics Inc is 16597 State Road 23 Ste 2, South Bend, IN and can be reached out via phone at 574-855-1488 and via fax at 574-387-5583.

Location: 16597 State Road 23 Ste 2, South Bend, IN, 46635-1461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184205379
Provider Name
Summit City Prosthetics & Orthotics Inc
Credential
Provider Entity Type
Organization
Address
16597 State Road 23 Ste 2, South Bend, IN, 46635-1461
Phone Number
574-855-1488
Fax Number
574-387-5583
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300033323 05 IN
institution
Provider Business Practice Location Address Details
Address
16597 State Road 23 Ste 2
City
South Bend
State
Indiana
Zip
46635-1461
Phone Number
574-855-1488
Fax Number
574-387-5583
person
Provider Business Mailing Address Details
Address
16597 State Road 23 Ste 2
City
South Bend
State
Indiana
Zip
46635-1461
Phone Number
574-855-1488
Fax Number
574-387-5583
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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