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Amputee Service Center, Llc
Prosthetic/Orthotic Supplier in Jackson, Michigan
NPI 1851382295

Amputee Service Center, Llc is a Prosthetic/Orthotic Supplier based in Dallas, MI. Amputee Service Center, Llc practices in Jackson, MI. The NPI Number for Amputee Service Center, Llc is 1851382295 and holds a License No. (Michigan).

The current practice location address for Amputee Service Center, Llc is 805 W Michigan Ave, Jackson, MI and can be reached out via phone at 517-784-1142 and via fax at 877-272-0290.

Location: 805 W Michigan Ave, Jackson, MI, 75265-0846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851382295
Provider Name
Amputee Service Center, Llc
Credential
Provider Entity Type
Organization
Address
805 W Michigan Ave, Jackson, MI, 75265-0846
Phone Number
517-784-1142
Fax Number
877-272-0290
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3263669 05 MI
0C80701 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
805 W Michigan Ave
City
Jackson
State
Michigan
Zip
49202-4103
Phone Number
517-784-1142
Fax Number
877-272-0290
person
Provider Business Mailing Address Details
Address
805 W Michigan Ave
City
Jackson
State
Michigan
Zip
49202-4103
Phone Number
517-784-1142
Fax Number
877-272-0290
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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