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Donna Jeanne Erisman
Prosthetic/Orthotic Supplier in Joplin, Missouri
NPI 1992867212

Donna Jeanne Erisman is a Prosthetic/Orthotic Supplier based in Joplin, MO. Donna Jeanne Erisman practices in Joplin, MO. The NPI Number for Donna Jeanne Erisman is 1992867212 and holds a License No. (Missouri).

The current practice location address for Donna Jeanne Erisman is 3420 Tana St, Joplin, MO and can be reached out via phone at 417-624-4754.

Location: 3420 Tana St, Joplin, MO, 64804-5450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992867212
Provider Name
Donna Jeanne Erisman
Credential
Provider Entity Type
Organization
Address
3420 Tana St, Joplin, MO, 64804-5450
Phone Number
417-624-4754
Fax Number
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 01 MO SOCIAL SECURITY NUMBER
institution
Provider Business Practice Location Address Details
Address
3420 Tana St
City
Joplin
State
Missouri
Zip
64804-5450
Phone Number
417-624-4754
Fax Number
person
Provider Business Mailing Address Details
Address
3420 Tana St
City
Joplin
State
Missouri
Zip
64804-5450
Phone Number
417-624-4754
Fax Number
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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