institution
Susquehanna Ventures, Inc.
Prosthetic/Orthotic Supplier in Williamsport, Pennsylvania
NPI 1861521627

Susquehanna Ventures, Inc. is a Prosthetic/Orthotic Supplier based in Williamsport, PA. Susquehanna Ventures, Inc. practices in Williamsport, PA. The NPI Number for Susquehanna Ventures, Inc. is 1861521627 and holds a License No. PP413352L (Pennsylvania).

The current practice location address for Susquehanna Ventures, Inc. is 1201 Grampian Blvd, Williamsport, PA and can be reached out via phone at 570-320-7660 and via fax at 570-320-7659. You can also correspond with Susquehanna Ventures, Inc. through the mailing address at 1201 GRAMPIAN BLVD, WILLIAMSPORT, PA - 17701-1900 (mailing address contact number: 570-320-7660).

Location: 1201 Grampian Blvd, Williamsport, PA, 17701-1900
institution
Provider Profile Details
NPI Number
1861521627
Provider Name
Susquehanna Ventures, Inc.
Credential
Provider Entity Type
Organization
Address
1201 Grampian Blvd, Williamsport, PA, 17701-1900
Phone Number
570-320-7660
Fax Number
570-320-7659
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
815788 01 PA BLUE CROSS FPH
1007515570011 05 PA
institution
Provider Business Practice Location Address Details
Address
1201 Grampian Blvd
City
State
Zip
17701-1900
Phone Number
570-320-7660
Fax Number
570-320-7659
person
Provider Business Mailing Address Details
Address
1201 Grampian Blvd
City
State
Zip
17701-1900
Phone Number
570-320-7660
Fax Number
570-320-7659
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
PP413352L (Pennsylvania)
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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