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Orthopedic And Sports Medicine Center Of Northern Indiana, Inc
Prosthetic/Orthotic Supplier in Elkhart, Indiana
NPI 1295397735

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 1295397735 and holds a License No. (Indiana).

The current practice location address for Orthopedic And Sports Medicine Center Of Northern Indiana, Inc is 200 E Jackson Blvd Ste 130, Elkhart, IN and can be reached out via phone at 574-264-0791 and via fax at 574-264-5183.

Location: 200 E Jackson Blvd Ste 130, Elkhart, IN, 46514-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295397735
Provider Name
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc
Credential
Provider Entity Type
Organization
Address
200 E Jackson Blvd Ste 130, Elkhart, IN, 46514-1228
Phone Number
574-264-0791
Fax Number
574-264-5183
Provider Enumeration Date
07/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300026304 05 IN
institution
Provider Business Practice Location Address Details
Address
200 E Jackson Blvd Ste 130
City
Elkhart
State
Indiana
Zip
46516-3513
Phone Number
574-264-0791
Fax Number
574-264-5183
person
Provider Business Mailing Address Details
Address
200 E Jackson Blvd Ste 130
City
Elkhart
State
Indiana
Zip
46516-3513
Phone Number
574-264-0791
Fax Number
574-264-5183
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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