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Shields Orthotic Prosthetic Services, Inc.
Prosthetic/Orthotic Supplier in South Ogden, Utah
NPI 1629027560

Shields Orthotic Prosthetic Services, Inc. is a Prosthetic/Orthotic Supplier based in Salt Lake City, UT. Shields Orthotic Prosthetic Services, Inc. practices in South Ogden, UT. The NPI Number for Shields Orthotic Prosthetic Services, Inc. is 1629027560 and holds a License No. (Utah).

The current practice location address for Shields Orthotic Prosthetic Services, Inc. is 5687 Harrison Blvd, South Ogden, UT and can be reached out via phone at 801-475-4428 and via fax at 801-475-0427.

Location: 5687 Harrison Blvd, South Ogden, UT, 84109-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629027560
Provider Name
Shields Orthotic Prosthetic Services, Inc.
Credential
Provider Entity Type
Organization
Address
5687 Harrison Blvd, South Ogden, UT, 84109-2818
Phone Number
801-475-4428
Fax Number
801-475-0427
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107893300 05 WY
002961100 05 ID
institution
Provider Business Practice Location Address Details
Address
5687 Harrison Blvd
City
South Ogden
State
Utah
Zip
84403-4322
Phone Number
801-475-4428
Fax Number
801-475-0427
person
Provider Business Mailing Address Details
Address
5687 Harrison Blvd
City
South Ogden
State
Utah
Zip
84403-4322
Phone Number
801-475-4428
Fax Number
801-475-0427
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
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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